Individual provider · Type 1 NPI

Kyle Haverstrom, DPM

Podiatrist · Largo, FL

NPI number 1649791369 Active

Practice location

11200 Seminole Blvd Ste 305
Largo, FL 33778-3239

Fax (727) 290-4376

Mailing address

15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XPO4312 (FL)
Podiatrist Primary 213E00000XPO4312 (FL)
Primary Podiatric Medicine Podiatrist 213EP1101XPO4312 (FL)
Foot Surgery Podiatrist 213ES0131XPO4312 (FL)
Sports Medicine Podiatrist 213ES0000XPO4312 (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 1649791369

Kyle Haverstrom, DPM's National Provider Identifier is 1649791369, issued on Jul 3, 2017. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Largo, FL. The record was last updated on Sep 11, 2026.