MEDICARE: AMOY KAREAN YOUNG RN

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	163WA2000X	Administrator Registered Nurse	AL13250	FL
2	163W00000X	Registered Nurse	RN9371040	FL

General Provider Information

NPI Number	:	1992279681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMOY KAREAN YOUNG RN

Provider Business Mailing Address
First Line	:	502 SOUTHRIDGE RD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6487
Country	:	US
Telephone Number	:	407-929-7247
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 SOUTHRIDGE RD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6487
Country	:	US
Telephone Number	:	407-929-7247
Fax Number	:

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

Provider Enumeration Date	:	01/15/2019
Last Update Date	:	03/16/2026

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