NPI 1013795889

Carol Blackwood Young, APRN

Practitioner General Practice Physician Tampa, FL

Practice location

Address: 5112 N Habana Ave, Tampa, FL 33614-6873
Phone: (813) 374-2406
Mailing address: 7613 Devonbridge Garden Way, Apollo Beach, FL 33572-1516

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 11027424 (FL)

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Registry record

NPI: 1013795889
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2023
Record last updated: 21 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.