Young, Johanna L

Young, Johanna L is an individual health care provider with primary practice located at 10676 Nw 19Th St , Doral FL 33172-2542. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Young, Johanna L can be contacted via phone (305) 403-3937.

Contact Information

Primary practice address
10676 Nw 19Th St Doral FL 33172-2542
Phone: (305) 403-3937
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3657 Florida

Profile Details

NPI number 1568517654
LBN Legal business name Young, Johanna L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - 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 1568517654 NPPES
Florida MEDICAID 6207740

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