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Carol Blackwood Young, APRN
General Practice Physician in Tampa, Florida
NPI 1013795889

Carol Blackwood Young is a General Practice Physician based in Apollo Beach, FL. Carol Blackwood Young practices in Tampa, FL and has the professional credentials of APRN. The NPI Number for Carol Blackwood Young is 1013795889 and holds a License No. 11027424 (Florida).

The current practice location address for Carol Blackwood Young is 5112 N Habana Ave, Tampa, FL and can be reached out via phone at 813-374-2406.

Location: 5112 N Habana Ave, Tampa, FL, 33572-1516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013795889
Provider Name
Carol Blackwood Young
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
5112 N Habana Ave, Tampa, FL, 33572-1516
Phone Number
813-374-2406
Fax Number
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5112 N Habana Ave
City
Tampa
State
Florida
Zip
33614-6873
Phone Number
813-374-2406
Fax Number
person
Provider Business Mailing Address Details
Address
5112 N Habana Ave
City
Tampa
State
Florida
Zip
33614-6873
Phone Number
813-374-2406
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
11027424 (Florida)
Definition
Definition to come...
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