MEDICARE: DR. PERRI ELIZABETH 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	207R00000X	Internal Medicine Physician	85459	FL

General Provider Information

NPI Number	:	1437100492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PERRI ELIZABETH YOUNG M.D.

Provider Business Mailing Address
First Line	:	3850 BIRD RD
Second Line	:	SUITE 201
City	:	MIAMI
State	:	FL
Zip	:	33146-1501
Country	:	US
Telephone Number	:	305-663-0609
Fax Number	:	305-668-0921

Provider Business Practice Location Address
First Line	:	3850 BIRD RD
Second Line	:	SUITE 201
City	:	MIAMI
State	:	FL
Zip	:	33146-1501
Country	:	US
Telephone Number	:	305-663-0609
Fax Number	:	305-668-0921

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	09/04/2013

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