Provider Demographics
NPI:1295822898
Name:YOUNG, CARYN L (ACUPUNCTURE, AP)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:L
Last Name:YOUNG
Suffix:
Gender:F
Credentials:ACUPUNCTURE, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 FRUITVILLE RD STE 135
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5358
Mailing Address - Country:US
Mailing Address - Phone:941-924-8833
Mailing Address - Fax:941-923-6905
Practice Address - Street 1:2801 FRUITVILLE RD STE 135
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5358
Practice Address - Country:US
Practice Address - Phone:941-924-8833
Practice Address - Fax:941-923-6905
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1457171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC0651OtherBLUE CROSS BLUE SHIELD