Provider Demographics
NPI:1851498570
Name:YONG, JULIAN A (MD)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:A
Last Name:YONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:777 E 25TH ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3825
Mailing Address - Country:US
Mailing Address - Phone:305-696-0133
Mailing Address - Fax:305-691-0659
Practice Address - Street 1:777 E 25TH ST
Practice Address - Street 2:SUITE 312
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3825
Practice Address - Country:US
Practice Address - Phone:305-696-0133
Practice Address - Fax:305-691-0659
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME20442208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2168178OtherAETNA
FL217369OtherAVMED
FL52753OtherJMH
FL059142400Medicaid
FL000M8OtherPREFERRED CARE PARTNERS
FL0089HILHOtherNEIGHBORHOODHEALTHPARTNER
FL92512OtherBLUE CROSS BLUE SHIELD
FL17541OtherHUMANA
FL9624954OtherGHI
FLP00319706OtherRAILROAD MEDICARE
FL17541OtherWELL CARE
FL000M8OtherPREFERRED CARE PARTNERS
FL17541OtherWELL CARE