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Individual

ROBERT E CREIGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3491 GANDY BLVD N STE 107, PINELLAS PARK, FL 33781-2652
(727) 384-5540
(727) 384-5520
Mailing address
2835 W DE LEON ST, SUITE 101, TAMPA, FL 33609-4168
(813) 254-6592
(813) 254-3634

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0002015
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2700457
UNITED HEALTHCARE
FL
01
65137
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/27/2005
Last updated
11/05/2019
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