MEDICARE: EDWARD D. YOUNG M.D.

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	207X00000X	Orthopaedic Surgery Physician	ME57493	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1306840772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD D. YOUNG M.D.

Provider Business Mailing Address
First Line	:	1325 SAN MARCO BLVD
Second Line	:	SUITE 701
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8568
Country	:	US
Telephone Number	:	904-346-3465
Fax Number	:	904-241-7331

Provider Business Practice Location Address
First Line	:	1577 ROBERTS DR
Second Line	:	SUITE 225
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3264
Country	:	US
Telephone Number	:	904-241-1204
Fax Number	:	904-241-7331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	11/16/2020

Similar Medicare Providers

1487658910 — DR. STEVEN J. LANCASTER M.D.
Practice Location Address:

1577 ROBERTS DR , SUITE 225 & 226
JACKSONVILLE BEACH, FL
32250-3264

Practice Phone: 904-241-1204
Practice Fax: 904-241-7331

1023013414 — ANITA LYNN ABDULLAH OTR
Practice Location Address:

1577 ROBERTS DR , SUITE 320
JACKSONVILLE BEACH, FL
32250-3264

Practice Phone: 904-247-3324
Practice Fax: 904-858-6489

1811998842 — DR. KAMAL I BOHSALI M.D.
Practice Location Address:

1577 ROBERTS DR , SUITE 225
JACKSONVILLE BEACH, FL
32250-3264

Practice Phone: 904-241-1204
Practice Fax: 904-241-7331

1578539177 — JENNY R DONACHIE PT
Practice Location Address:

1577 ROBERTS DR , SUITE 320
JACKSONVILLE BEACH, FL
32250-3264

Practice Phone: 904-247-3324
Practice Fax: 904-247-3926

1366484842 — BONNI G. TITCOMB A.R.N.P.
Practice Location Address:

1577 ROBERTS DR , SIOTE 323
JACKSONVILLE BEACH, FL
32250-3264

Practice Phone: 904-241-9775
Practice Fax: 904-249-3638

1639280233 — JOHN WOESTE JR MD & ASSOC PA
Practice Location Address:

1577 ROBERTS DR , SUITE 326
JACKSONVILLE BEACH, FL
32250-3264

Practice Phone: 904-270-2706
Practice Fax: 904-270-2715

Directions to “ EDWARD D. YOUNG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.