Organization
CREIGHTON HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA DEJESUS (MANAGER)
(813) 915-8666
Entity
Organization
Contact information
Practice address
9724 N ARMENIA AVE, SUITE 100, TAMPA, FL 33612-7550
(813) 915-8666
(813) 930-9536
Mailing address
9724 N ARMENIA AVE, SUITE 100, TAMPA, FL 33612-7550
(813) 915-8666
(813) 930-9536
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
0038694
FL
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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