| Doctor Name: | DR. JEREMIE JOSEPH YOUNG |
| NPI Number: | 1003912635 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 100167 |
| Business Practice Address: | 125 Sw 7th Street Williston, FL - 32696 |
| Business Phone Number: | 3525282801 |
| Business Fax Number: | |
| Mailing Address: | 9118 Sw 49th Pl, GAINESVILLE |
| State: | FL |
| Postal Code: | 326087181 |
| Phone Number: | 3522268272 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 05/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 100167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |