MEDICARE: DR. TOI YOUNG

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	1835P1200X	Pharmacotherapy Pharmacist	PS34657	FL

General Provider Information

NPI Number	:	1336416791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TOI YOUNG

Provider Business Mailing Address
First Line	:	3631 NW 7TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6406
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3631 NW 7TH CT
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-6406
Country	:	US
Telephone Number	:	954-980-8952
Fax Number	:

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

Provider Enumeration Date	:	11/29/2011
Last Update Date	:	11/29/2011

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