Provider Demographics
NPI:1487452900
Name:YOUNG, SYDNEY ALEXIS (DC)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:ALEXIS
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14508 SERENOA DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-8483
Mailing Address - Country:US
Mailing Address - Phone:910-274-3719
Mailing Address - Fax:
Practice Address - Street 1:8110 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-5823
Practice Address - Country:US
Practice Address - Phone:904-379-4621
Practice Address - Fax:904-592-8683
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15319111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor