Provider Demographics
NPI:1437100492
Name:YOUNG, PERRI ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:PERRI
Middle Name:ELIZABETH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3850 BIRD RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1501
Mailing Address - Country:US
Mailing Address - Phone:305-663-0609
Mailing Address - Fax:305-668-0921
Practice Address - Street 1:3850 BIRD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1501
Practice Address - Country:US
Practice Address - Phone:305-663-0609
Practice Address - Fax:305-668-0921
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2013-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL85459207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH74982Medicare UPIN
FL28025WMedicare ID - Type Unspecified