MEDICARE: YOUNG PAIN AND REHAB CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization
2	261QP2000X	Physical Therapy Clinic/Center	MM 13883	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y6059	OTHER	FL	BLUECROSS-BLUESHIELD

General Provider Information

NPI Number	:	1275671158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUNG PAIN AND REHAB CENTER, INC

Provider Business Mailing Address
First Line	:	7520 W WATERS AVE
Second Line	:	SUITE 12
City	:	TAMPA
State	:	FL
Zip	:	33615-1599
Country	:	US
Telephone Number	:	813-884-3773
Fax Number	:	813-884-3855

Provider Business Practice Location Address
First Line	:	7520 W WATERS AVE
Second Line	:	SUITE 12
City	:	TAMPA
State	:	FL
Zip	:	33615-1599
Country	:	US
Telephone Number	:	813-884-3773
Fax Number	:	813-884-3855

Authorized Official
Title or Position	:	P.T. DIRECTOR
Name	:	YOUNG SOO SUH
Credential	:	P.T.
Telephone Number	:	813-884-3773

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1700037587 — PREMIER PHARMA SERVICES INC
Practice Location Address:

7520 W WATERS AVE , SUITE 6
TAMPA, FL
33615-1599

Practice Phone: 813-333-5343
Practice Fax: 813-333-5274

1780839357 — BETTER AT HOME, LLC.
Practice Location Address:

7520 W WATERS AVE , SUITE 19
TAMPA, FL
33615-1599

Practice Phone: 813-374-0309
Practice Fax: 813-902-7196

1134456684 — 7520 REHABILITATION
Practice Location Address:

7520 W WATERS AVE STE 14
TAMPA, FL
33615-1599

Practice Phone: 813-443-4559
Practice Fax:

1407113020 — LABORATORY OF FLORIDA LLC
Practice Location Address:

7520 W WATERS AVE STE 4
TAMPA, FL
33615-1599

Practice Phone: 813-885-7755
Practice Fax: 813-885-6688

1629947536 — HEART ANGELS ADULT DAYCARE INC
Practice Location Address:

7520 W WATERS AVE STE 1516
TAMPA, FL
33615-1599

Practice Phone: 813-995-1189
Practice Fax:

1114880838 — ALBERTO MANUEL FERNANDEZ CAMARA
Practice Location Address:

6108 BEACON ISLES DR APT 106
TAMPA, FL
33615-3477

Practice Phone: 656-210-3168
Practice Fax:

Directions to “YOUNG PAIN AND REHAB CENTER, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.