Organization
ANKLE & FOOT CENTER OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E CREIGHTON DPM (MEMBER)
(813) 254-4747
Entity
Organization
Contact information
Practice address
4207 59TH ST W, BRADENTON, FL 34209-6663
(941) 792-8184
(941) 795-4892
Mailing address
2835 W DE LEON ST STE 101, TAMPA, FL 33609-4130
(813) 254-4747
(813) 254-8262
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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