| Young Foundational Health Center | |
|
7241 Bryan Dairy Rd Largo FL 33777 | |
| (727) 545-4600 | |
| (727) 545-4611 |
| Full Name | Young Foundational Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 7241 Bryan Dairy Rd, Largo, Florida |
| Authorized Official Name and Position | John D Young (OWNER) |
| Authorized Official Contact | 7275454600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Foundational Health Center 7241 Bryan Dairy Rd Largo FL 33777-1538 Ph: (727) 545-4600 | Young Foundational Health Center 7241 Bryan Dairy Rd Largo FL 33777 Ph: (727) 545-4600 |
| NPI Number | 1992979546 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 08/18/2014 |
| Medicare PECOS PAC ID | 7416997648 |
|---|---|
| Medicare Enrollment ID | O20050506000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992979546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME0067443 (Florida) | Primary |
| Provider Name | John D Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134140775 PECOS PAC ID: 1355244856 Enrollment ID: I20050507000005 |
| Provider Name | Alexsandra M De Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538578927 PECOS PAC ID: 6608095526 Enrollment ID: I20140908002129 |
| Provider Name | Emily Lauren Shultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245699545 PECOS PAC ID: 5799084943 Enrollment ID: I20160422000855 |
| Provider Name | Tiffany Nicole Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659942068 PECOS PAC ID: 2163824269 Enrollment ID: I20210713000332 |
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