MEDICARE: JADRIEN YOUNG MD

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	207Y00000X	Otolaryngology Physician	ME119646	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	:	1336343821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADRIEN YOUNG MD

Provider Business Mailing Address
First Line	:	15280 NW 79TH CT STE 200
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5873
Country	:	US
Telephone Number	:	305-558-3724
Fax Number	:	786-907-4485

Provider Business Practice Location Address
First Line	:	21550 BISCAYNE BLVD STE 202A
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-1258
Country	:	US
Telephone Number	:	305-707-0368
Fax Number	:	786-533-1672

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

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	12/19/2022

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Directions to “ JADRIEN YOUNG MD” Practice Location

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