Young, Stephen E

Young, Stephen E is an individual health care provider with primary practice located at 1707 Mayo Drive , Tavares FL 32778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Young, Stephen E can be contacted via phone (352) 253-2511.

Contact Information

Primary practice address
1707 Mayo Drive Tavares FL 32778
Phone: (352) 253-2511
Fax: (352) 253-2522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9170 Florida

Profile Details

NPI number 1306844964
LBN Legal business name Young, Stephen E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Apr 27th, 2009 - about 17 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 1306844964 NPPES
Florida MEDICAID 272928800

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