Dr. Kyle Haverstrom

DPM | Podiatrist | 7+ years Exp


  
11200 Seminole Blvd Ste 305, Largo
Florida, 33778-3239

 727-431-9552     727-290-4376Maps & Directions
Dr. Kyle Haverstrom is a Largo, Florida based male podiatrist with 7 years of experience in Podiatry. He completed his graduation in 2017. He is also affiliated with hospitals like St Josephs Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kyle Haverstrom for Podiatric Foot & Ankle Surgery is PO4312 in Florida.
Dr. Kyle Haverstrom is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Kyle Haverstrom speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Podiatrist
Credentials: DPM
Experience: 7+ years
Medical School Attended:Other
Graduation Year:2017
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:11200 Seminole Blvd Ste 305, Largo,
Florida, 33778-3239
Phone:727-431-9552
Fax:727-290-4376
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8729322136
Enrollment ID: I20210726002208
NPI Number: 1649791369
NPI Enumeration Date: 03 Jul, 2017
NPI Last Update On: 12 Aug, 2024

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kyle Haverstrom are as mentioned below.
License NumberSpecializationStateStatus
PO4312Podiatric Foot & Ankle Surgery FloridaPrimary
PO4312Podiatry FloridaSecondary
PO4312Primary Podiatric Medicine FloridaSecondary
PO4312Podiatric Sports Medicine FloridaSecondary
PO4312Podiatric Foot Surgery FloridaSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
St Josephs Hospital (100075)Tampa, FLAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kyle Haverstrom is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
All Podiatry Group Inc (0042252140)10
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kyle Haverstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
111187000MedicaidFlorida
5G5CIOtherFloridaBCBS
14929205OtherCAQH ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 15815 Shaddock Dr Ste 130,
Winter Garden, Florida
Zip: 34787-5773
Phone Number: 813-400-1140
Fax Number: 813-701-9132
Patients can reach Dr. Kyle Haverstrom at 11200 Seminole Blvd Ste 305, Largo, Florida or can call to book an appointment on 727-431-9552. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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