Provider Demographics
NPI:1649567876
Name:YOUNG, JOSEPH T (PA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:T
Last Name:YOUNG
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Gender:M
Credentials:PA
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Mailing Address - Street 1:6716 NW 11TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4215
Mailing Address - Country:US
Mailing Address - Phone:352-331-9729
Mailing Address - Fax:352-331-0136
Practice Address - Street 1:6685 NW 9TH BLVD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4206
Practice Address - Country:US
Practice Address - Phone:352-333-7847
Practice Address - Fax:352-333-0900
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2012-08-16
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Provider Licenses
StateLicense IDTaxonomies
FLPAT9106049363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical