Individual ProviderCarol Blackwood YoungGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address5112 N Habana Ave, Tampa, FL 33614-6873(813) 374-2406PECOS EnrollmentBased on the most recent information from CMS, provider Carol Blackwood Young is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1013795889Provider TypeIndividualFull NameBlackwood Young, CarolCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date9/21/2023Last Updated9/21/2023Contact InformationPractice LocationPractice Address5112 N Habana Ave, Tampa, FL 33614-6873Phone(813) 374-2406FaxUnlisted FaxMailing LocationMailing Address7613 Devonbridge Garden Way, Apollo Beach, FL 33572-1516PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense11027424Florida