Provider Demographics
NPI:1922062272
Name:YOUNG-HELMS, CORRAINE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:CORRAINE
Middle Name:ELIZABETH
Last Name:YOUNG-HELMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11101 S CROWN WAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-8792
Mailing Address - Country:US
Mailing Address - Phone:561-795-9150
Mailing Address - Fax:561-798-7700
Practice Address - Street 1:3319 STATE ROAD 7
Practice Address - Street 2:SUITE 207
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8094
Practice Address - Country:US
Practice Address - Phone:561-753-1101
Practice Address - Fax:561-795-1105
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74389207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL17214OtherBCBSFL
FL000525400Medicaid
FLME74389OtherFL MEDICAL LICENSE
FL000525400Medicaid
FL17214OtherBCBSFL