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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1811003593 | NPPES |
Florida | MEDICAID | 2762374-00 | |
Florida | MEDICAID | 813042151A | |
Florida | MEDICAID | NC1999 | |
Florida | MEDICAID | 1811003593 |
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