Individual provider · Type 1 NPI

Youstina Ibrahim Bolos, DPM

Podiatrist · Brandon, FL

NPI number 1073976429 Active

Practice location

721 W Robertson St Ste 102
Brandon, FL 33511-4900

Fax (813) 558-6185

Mailing address

5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000XPO4044 (FL)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1073976429

Youstina Ibrahim Bolos, DPM's National Provider Identifier is 1073976429, issued on Apr 2, 2016. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Brandon, FL. The record was last updated on Jun 2, 2025.