Organization
AMERICAN FOOT & ANKLE CLINIC OF TAMPA BAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO A. DONATE DPM (PHYSICIAN)
(813) 380-8346
Entity
Organization
Contact information
Practice address
16350 BRUCE B. DOWNS BLVD, UNIT 46879, TAMPA, FL 33647
(813) 380-8346
(813) 388-4180
Mailing address
5322 PRIMROSE LAKE CIR STE F, TAMPA, FL 33647-3659
(813) 380-8346
(813) 354-4635
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FF599A
MEDICARE PTAN
—
Enumeration date
03/07/2011
Last updated
09/19/2024
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