# ANKLE & FOOT CENTER OF TAMPA BAY

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

## Provider details

- **NPI number:** 1083884936
- **Authorized official:** ROBERT E CREIGHTON DPM (MEMBER)
- **Authorized official phone:** (813) 254-4747

## Contact information

- **Practice address:** 1408 W REYNOLDS ST, SUITE A, PLANT CITY, FL 33563-4361
- **Practice address phone:** (813) 754-9876
- **Practice address fax:** (813) 759-9387
- **Mailing address:** 2835 W DE LEON ST, SUITE \#101, TAMPA, FL 33609-4130
- **Mailing address phone:** (813) 254-4747
- **Mailing address fax:** (813) 254-3634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | NULL | — |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 10/11/2018