Provider Demographics
NPI:1558529131
Name:W DENNIS YOUNG MD PA
Entity Type:Organization
Organization Name:W DENNIS YOUNG MD PA
Other - Org Name:QUALITY CARE CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-629-2687
Mailing Address - Street 1:3032 TEMPLE TRL
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1166
Mailing Address - Country:US
Mailing Address - Phone:407-629-2687
Mailing Address - Fax:407-628-0288
Practice Address - Street 1:3032 TEMPLE TRL
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1166
Practice Address - Country:US
Practice Address - Phone:407-629-2687
Practice Address - Fax:407-628-0288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME44342207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty