Young, Robert A

Young, Robert A is an sole proprietor health care provider with primary practice located at 13910 Lakeshore Blvd Suite 130 Building 100, Hudson FL 34667-1481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Young, Robert A can be contacted via phone (727) 862-5478.

Contact Information

Primary practice address
13910 Lakeshore Blvd Suite 130 Building 100 Hudson FL 34667-1481
Fax: (727) 862-5477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME38298 Florida

Profile Details

NPI number 1235155243
LBN Legal business name Young, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jul 9th, 2010 - about 14 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 1235155243 NPPES
Florida MEDICAID 065873100

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