# TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073189692
- **Authorized official:** SARA CREEKMORE DO (PRESIDENT)
- **Authorized official phone:** (276) 285-7098

## Contact information

- **Practice address:** 17734 HUNTING BOW CIR STE 102, LUTZ, FL 33558-5383
- **Practice address phone:** (813) 550-2020
- **Practice address fax:** (813) 682-2525
- **Mailing address:** 17734 HUNTING BOW CIR STE 102, LUTZ, FL 33558-5383
- **Mailing address phone:** (813) 550-2020
- **Mailing address fax:** (813) 682-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2021
- **Last updated:** 06/03/2021
