institution
Jordan T Young
Primary Care Clinic/Center in Trinity, Florida
NPI 1679832737

Jordan T Young is a Primary Care Clinic/Center based in Trinity, FL and is specialized in Primary Care. Jordan T Young practices in Trinity, FL. The NPI Number for Jordan T Young is 1679832737 and holds a License No. ME112761 (Florida).

The current practice location address for Jordan T Young is 9332 State Road 54 Ste 202, Trinity, FL and can be reached out via phone at 727-597-4441 and via fax at 727-597-4445.

Location: 9332 State Road 54 Ste 202, Trinity, FL, 34655-1810
institution
Provider Profile Details
NPI Number
1679832737
Provider Name
Jordan T Young
Credential
Provider Entity Type
Organization
Address
9332 State Road 54 Ste 202, Trinity, FL, 34655-1810
Phone Number
727-597-4441
Fax Number
727-597-4445
Provider Enumeration Date
05/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009376200 05 FL
institution
Provider Business Practice Location Address Details
Address
9332 State Road 54 Ste 202
City
State
Zip
34655-1810
Phone Number
727-597-4441
Fax Number
727-597-4445
person
Provider Business Mailing Address Details
Address
9332 State Road 54 Ste 202
City
State
Zip
34655-1810
Phone Number
727-597-4441
Fax Number
727-597-4445
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
ME112761 (Florida)
Definition
Definition to come...
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