DR. JORDAN YOUNG MD PA
Ambulatory Health at Lakeshore Blvd, Port Richey, FL

License number
Florida ME112761
Category
Ambulatory Health
Type
Primary Care
Owner
Name: JORDAN TERRELL YOUNG MD
Title: PHYSICIAN
Phone: (252) 258-6375
Address
Address
13910 Lakeshore Blvd SUITE 130, Port Richey, FL 34667
National Provider ID: 1679832737
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Dr. Jordan Young, M.D., PA

Port Richey, FL  -  New Port Richey, FL

Registration:
May 3, 2012
Addresses:
13910 Lakeshore Blvd, Port Richey, FL 34667
9332 State Rd 54, New Port Richey, FL 34655
State ID:
P12000041776
Business type:
Domestic for Profit Corporation
S:
Jordan Young (Secretary, President),Angela K. Donaldson

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