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Dr. Evan Reese Young, DPM
Foot & Ankle Surgery Podiatrist in Lutz, Florida
NPI 1881962652

Evan Reese Young is a Foot & Ankle Surgery Podiatrist based in Tampa, FL and is specialized in Foot & Ankle Surgery. Evan Reese Young practices in Lutz, FL and has the professional credentials of DPM. The NPI Number for Evan Reese Young is 1881962652 and holds a License No. PO4216 (Florida).

The current practice location address for Evan Reese Young is 1005 Dale Mabry Hwy, Lutz, FL and can be reached out via phone at 813-549-5678 and via fax at 813-701-9132.

Location: 1005 Dale Mabry Hwy, Lutz, FL, 33607-6301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881962652
Provider Name
Evan Reese Young
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1005 Dale Mabry Hwy, Lutz, FL, 33607-6301
Phone Number
813-549-5678
Fax Number
813-701-9132
Provider Enumeration Date
12/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108826400 05 FL
ISELD 01 FL BCBS
14953569 01 CAQH ID
4790067 01 FL AETNA ID
8672007 01 FL CIGNA ID
institution
Provider Business Practice Location Address Details
Address
1005 Dale Mabry Hwy
City
Lutz
State
Florida
Zip
33548-3021
Phone Number
813-549-5678
Fax Number
813-701-9132
person
Provider Business Mailing Address Details
Address
1005 Dale Mabry Hwy
City
Lutz
State
Florida
Zip
33548-3021
Phone Number
813-549-5678
Fax Number
813-701-9132
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO4216 (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.
PO4216 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
PO4216 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
PO4216 (Florida)
Definition
Definition to come...
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