Young, Samuel Doak

Young, Samuel Doak is an individual health care provider with primary practice located at 2080 Child St , Jacksonville FL 32214-5005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Young, Samuel Doak can be contacted via phone (904) 542-7679.

Contact Information

Primary practice address
2080 Child St Jacksonville FL 32214-5005
Phone: (904) 542-7679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME96716 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101240022 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME96716 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2005-00921 North Carolina

Profile Details

NPI number 1811003593
LBN Legal business name Young, Samuel Doak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Sep 18th, 2023 - about 2 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 1811003593 NPPES
Florida MEDICAID 2762374-00
Florida MEDICAID 813042151A
Florida MEDICAID NC1999
Florida MEDICAID 1811003593

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