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Organization
ANKLE & FOOT CENTER OF TAMPA BAY
Active
Organization
ANKLE & FOOT CENTER OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES NASH YOUNG (CREDENTIALER)
(813) 254-4747
Entity
Organization
Contact information
Practice address
3491 GANDY BLVD N STE 107, PINELLAS PARK, FL 33781-2652
(727) 384-5540
(727) 384-5520
Mailing address
2835 W DE LEON ST, SUITE #101, TAMPA, FL 33609-4130
(813) 254-4747
(813) 254-4747
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
NULL
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
03/07/2008
Last updated
11/05/2019
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