Young, Marvin Jason

Young, Marvin Jason is an individual health care provider with primary practice located at 1071 S Sun Dr Suite 1003, Lake Mary FL 32746-2405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Young, Marvin Jason can be contacted via phone (407) 302-2620.

Contact Information

Primary practice address
1071 S Sun Dr Suite 1003 Lake Mary FL 32746-2405
Phone: (407) 302-2620
Fax: (407) 302-2690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME80601 Florida

Profile Details

NPI number 1235221219
LBN Legal business name Young, Marvin Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235221219 NPPES
Florida MEDICAID 000105000
Florida Other ME80601
Florida Other PTAN# DO3210
Florida MEDICAID GROUP # 000354800

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