Individual
DANIEL CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13801 BRUCE B DOWNS BLVD STE 403, TAMPA, FL 33613-3997
(813) 971-4678
(813) 482-0036
Mailing address
2919 W SWANN AVE STE 203, TAMPA, FL 33609-4050
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4389
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118505500
—
FL
01
—
ZR3C2
BCBS INDIVIDUAL PROVIDER NUMBER
FL
Enumeration date
03/27/2019
Last updated
05/30/2024
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