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NPI Code Detail

MEDICARE: RODNEY YOUNG MD PA

MEDICARE: RODNEY YOUNG MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME-0040260FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME-0040260OTHERFLLIC #

General Provider Information

NPI Number : 1104092915
Entity Type Code : Organization
Provider Name (Legal Business Name) : RODNEY YOUNG MD PA
Provider Business Mailing Address
First Line : 1190 NW 95TH ST STE 305
Second Line :
City : MIAMI
State : FL
Zip : 33150-2066
Country : US
Telephone Number : 305-835-1811
Fax Number : 305-835-9606
Provider Business Practice Location Address
First Line : 1190 NW 95TH ST STE 305
Second Line :
City : MIAMI
State : FL
Zip : 33150-2066
Country : US
Telephone Number : 305-835-1811
Fax Number : 305-835-9606
Authorized Official
Title or Position : MEDICAL PROVIDER
Name : RODNEY D YOUNG
Credential : MD
Telephone Number : 305-835-1811
Provider Enumeration Date : 05/01/2008
Last Update Date : 05/01/2008

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Directions to “RODNEY YOUNG MD PA ” Practice Location

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