Michael John Young in Fort Myers - Physician Assistant
Michael John Young - NPI 1750395125
Michael John Young is a Physician Assistant in Fort Myers, Florida. Michael John Young practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael John Young is 1750395125. The last update date is 2019-02-08.
Michael John Young's current location address is 12670 Creekside Ln, Fort Myers, Florida. You can contact this provider via phone number 2394822663 and fax number 2394827585. The mailing address for Michael John Young is 12670 Creekside Ln, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Young |
|---|---|
| Address | 12670 Creekside Ln, Fort Myers, Florida |
| Phone Number | 2394822663 |
| Fax Number | 2394827585 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1750395125 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2019-02-08 |
Provider Mailing Address Detail
| Address | 12670 Creekside Ln |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339193370 |
| Phone Number | 2394822663 |
| Fax Number | 2394827585 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9101912 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292063800 | FL | -- | |
| 284816 | FL | AMERIGROUP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael John Young?
The Michael John Young has been issued the NPI (National Provider Identifier) 1750395125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michael John Young's facilities are situated?
The facilities of Michael John Young are physically located at the following address: 12670 Creekside Ln, Fort Myers, FL, 339193370.
What is Michael John Young's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael John Young's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Michael John Young receive the assignment of its 1750395125 from the Centers for Medicare & Medicaid Services?
The Michael John Young was issued its 1750395125 by the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the information regarding Michael John Young, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael John Young, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-02-08.