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Individual

CAROL BLACKWOOD YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5112 N HABANA AVE, TAMPA, FL 33614-6873
(813) 374-2406
Mailing address
7613 DEVONBRIDGE GARDEN WAY, APOLLO BEACH, FL 33572-1516

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11027424
FL

Other

Enumeration date
09/21/2023
Last updated
09/21/2023
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