MEDICARE: YOUNG CHIROPRACTIC

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	111N00000X	Chiropractor	CH 9843	FL

General Provider Information

NPI Number	:	1689973547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUNG CHIROPRACTIC

Provider Business Mailing Address
First Line	:	11444 S APOPKA VINELAND RD # 106A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-7009
Country	:	US
Telephone Number	:	407-238-2306
Fax Number	:	407-238-2309

Provider Business Practice Location Address
First Line	:	11444 S APOPKA VINELAND RD # 106A
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-7009
Country	:	US
Telephone Number	:	407-238-2306
Fax Number	:	407-238-2309

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID ANTHONY YOUNG
Credential	:	D.C.
Telephone Number	:	407-461-0038

Provider Enumeration Date	:	03/17/2011
Last Update Date	:	03/19/2018

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Directions to “YOUNG CHIROPRACTIC ” Practice Location

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