MEDICARE: A YOUNGER YOU, PLLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1538879077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A YOUNGER YOU, PLLC

Provider Business Mailing Address
First Line	:	1431 ORANGE CAMP RD STE 115
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-7770
Country	:	US
Telephone Number	:	386-202-1401
Fax Number	:	386-202-1402

Provider Business Practice Location Address
First Line	:	1431 ORANGE CAMP RD STE 115
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-7770
Country	:	US
Telephone Number	:	386-202-1401
Fax Number	:	386-202-1402

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MRS. SHARON YELLE
Credential	:	APRN
Telephone Number	:	386-202-1401

Provider Enumeration Date	:	11/23/2022
Last Update Date	:	11/23/2022

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Directions to “A YOUNGER YOU, PLLC ” Practice Location

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