# ANKLE & FOOT CENTER OF TAMPA BAY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386814259
- **Authorized official:** DOLORES NASH YOUNG (CREDENTIALER)
- **Authorized official phone:** (813) 254-4747

## Contact information

- **Practice address:** 3491 GANDY BLVD N STE 107, PINELLAS PARK, FL 33781-2652
- **Practice address phone:** (727) 384-5540
- **Practice address fax:** (727) 384-5520
- **Mailing address:** 2835 W DE LEON ST, SUITE \#101, TAMPA, FL 33609-4130
- **Mailing address phone:** (813) 254-4747
- **Mailing address fax:** (813) 254-4747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 11/05/2019