MEDICARE: JOSHUA BARTON 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	207P00000X	Emergency Medicine Physician	A88357	CA
2	207P00000X	Emergency Medicine Physician	ME 121761	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

General Provider Information

NPI Number	:	1487685798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA BARTON YOUNG M.D.

Provider Business Mailing Address
First Line	:	6200 SW 73RD STREET
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143
Country	:	US
Telephone Number	:	786-662-0451
Fax Number	:	786-662-5251

Provider Business Practice Location Address
First Line	:	7240 SW 77TH CT
Second Line	:	SOUTH MIAMI CRITICARE, INC.
City	:	MIAMI
State	:	FL
Zip	:	33143-4012
Country	:	US
Telephone Number	:	786-662-0455
Fax Number	:	786-662-5251

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	11/05/2018

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