MEDICARE: YOUNG HEALTH & WELLNESS 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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1568391852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUNG HEALTH & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	541 SHADY PINE WAY APT C
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33415-8904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	541 SHADY PINE WAY APT C
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33415-8904
Country	:	US
Telephone Number	:	607-221-1934
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN YOUNG
Credential	:	DNP, APRN, FNP-C
Telephone Number	:	607-221-1934

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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