MEDICARE: M R YOUNG TRUCKING LLC

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
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1225988009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M R YOUNG TRUCKING LLC

Provider Business Mailing Address
First Line	:	614 HENRY AVE
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33972-7925
Country	:	US
Telephone Number	:	848-202-5017
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 HENRY AVE
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33972-7925
Country	:	US
Telephone Number	:	848-202-5017
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	ROBERT YOUNG
Credential	:
Telephone Number	:	848-202-5017

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “M R YOUNG TRUCKING LLC ” Practice Location

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