DR. JEREMIE JOSEPH YOUNG (NPI# 1003912635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003912635 |
Entity Type | Individual |
Full Name | DR. JEREMIE JOSEPH YOUNG |
Credential | MD |
Practice Address |
125 Sw 7th Street Williston FL 32696 |
Mailing Address |
9118 Sw 49th Pl Gainesville FL 32608-7181 |
Practice Telephone | 3525282801 |
Mailing Telephone | 3522268272 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2008-05-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 100167 | FL | Allopathic & Osteopathic Physicians |
Street Address |
125 SW 7TH STREET |
City | WILLISTON |
State | FL |
Zip Code | 32696 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
1346770930 | Michelle Yvette Dempsey | Home Health Aide | 931 Ne 207th Ave, Williston, FL 32696 | 2017-06-15 |
1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
1821261306 | Raymond T Webber | Dentist | 610 Sw 1st Ave, Williston, FL 32696 | 2008-04-07 |
1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
1841631249 | Lawrence C Rush Jr. | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2013-07-13 |
1952401648 | Teresa Sever | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-09-23 |
1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
1902879158 | Stephen S Falkowski | Family Medicine | 630 N Main St, Williston, FL 32696-1705 | 2006-02-08 |
Find all providers in zip 32696 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609310218 | Aa Senior Living and Total Care LLC | General Practice | 37 S Main St, Suite A, Williston, FL 32696-2681 | 2016-12-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.