Provider Demographics
NPI:1487685798
Name:YOUNG, JOSHUA BARTON (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:BARTON
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 SW 73RD STREET
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:786-662-0451
Mailing Address - Fax:786-662-5251
Practice Address - Street 1:7240 SW 77TH CT
Practice Address - Street 2:SOUTH MIAMI CRITICARE, INC.
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4012
Practice Address - Country:US
Practice Address - Phone:786-662-0455
Practice Address - Fax:786-662-5251
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88357207P00000X
FLME 121761207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZP4323ZMedicare ID - Type Unspecified