Forever Young Diagnostics

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FOREVER YOUNG DIAGNOSTICS

Practice address

110 Lithia Pinecrest Rd Ste H
Brandon, FL 33511-5300

Phone

(813) 857-8556

NPI assigned

Jan 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zaranda YoungNPI 1457248080

Title

Admin

Phone

(813) 857-8556

Specialties & licenses 2

Addresses

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zaranda Young, RN

  • Registered Nurse
  • Brandon, FL
  • NPI 1457248080
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1366194649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 SUN CITY CENTER BLVD # 104-49",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736843",
            "telephone_number": "813-857-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LITHIA PINECREST RD STE H",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115300",
            "telephone_number": "813-857-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOUNG DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ZARANDA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "813-857-8556"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@foreveryoungcompanionagency.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 Lithia Pinecrest Rd Ste H",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latonya Forbes
• Alexis Shernita Ford, LMHC
• Laurence Ford, LCSW
• Steven Ford
• Amanda Renee Foresteire, PA-C
• Forever Young International LLC
• Jared William Forster, PHARMD
• Steven P Foster, LMHC
• Bradley D Fouraker, MD
• Pearl Fox, ARNP

• Health Service Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.