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Dr. Kyle Haverstrom, DPM
Foot & Ankle Surgery Podiatrist in Largo, Florida
NPI 1649791369

Kyle Haverstrom is a Foot & Ankle Surgery Podiatrist based in Winter Garden, FL and is specialized in Foot & Ankle Surgery. Kyle Haverstrom practices in Largo, FL and has the professional credentials of DPM. The NPI Number for Kyle Haverstrom is 1649791369 and holds a License No. PO4312 (Florida).

The current practice location address for Kyle Haverstrom is 11200 Seminole Blvd Ste 305, Largo, FL and can be reached out via phone at 727-431-9552 and via fax at 727-290-4376.

Location: 11200 Seminole Blvd Ste 305, Largo, FL, 34787-5773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649791369
Provider Name
Kyle Haverstrom
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
11200 Seminole Blvd Ste 305, Largo, FL, 34787-5773
Phone Number
727-431-9552
Fax Number
727-290-4376
Provider Enumeration Date
07/03/2017
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111187000 05 FL
5G5CI 01 FL BCBS
14929205 01 CAQH ID
institution
Provider Business Practice Location Address Details
Address
11200 Seminole Blvd Ste 305
City
Largo
State
Florida
Zip
33778-3239
Phone Number
727-431-9552
Fax Number
727-290-4376
person
Provider Business Mailing Address Details
Address
11200 Seminole Blvd Ste 305
City
Largo
State
Florida
Zip
33778-3239
Phone Number
727-431-9552
Fax Number
727-290-4376
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO4312 (Florida)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
PO4312 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
PO4312 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO4312 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
PO4312 (Florida)
Definition
Definition to come...
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