Young, Jerrold
Young, Jerrold is an individual health care provider with primary practice located at 6200 Sunset Dr Suite 501, South Miami FL 33143-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Young, Jerrold can be contacted via phone (305) 667-7878.Contact Information
Primary practice address
6200 Sunset Dr Suite 501
South Miami FL 33143-4828
Phone: (305) 667-7878
Fax: (305) 667-7459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME21428 | Florida |
Profile Details
| NPI number | 1104867126 |
|---|---|
| LBN Legal business name | Young, Jerrold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 18th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104867126 | NPPES |
| Florida | Other | 78188A | INDIVIDUAL MEDICARE PTAN |
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