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Kaelan Dendy Young Black, MD
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1215226469

Kaelan Dendy Young Black is a Student in an Organized Health Care Education/Training Program based in Fairfax, FL. Kaelan Dendy Young Black practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Kaelan Dendy Young Black is 1215226469 and holds a License No. (Florida).

The current practice location address for Kaelan Dendy Young Black is 12901 Bruce B Downs Blvd, Tampa, FL and can be reached out via phone at 813-844-7995.

Location: 12901 Bruce B Downs Blvd, Tampa, FL, 22030-2503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215226469
Provider Name
Kaelan Dendy Young Black
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12901 Bruce B Downs Blvd, Tampa, FL, 22030-2503
Phone Number
813-844-7995
Fax Number
Provider Enumeration Date
03/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-844-7995
Fax Number
person
Provider Business Mailing Address Details
Address
12901 Bruce B Downs Blvd
City
Tampa
State
Florida
Zip
33612-4742
Phone Number
813-844-7995
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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