Organization
ANKLE & FOOT CENTER OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E CREIGHTON DPM (MEMBER)
(813) 254-6592
Entity
Organization
Contact information
Practice address
1700 N MCMULLEN BOOTH RD, SUITE A2-B, CLEARWATER, FL 33759-2130
(727) 725-2719
(727) 799-1083
Mailing address
2835 W DE LEON ST, SUITE #101, TAMPA, FL 33609-4130
(813) 254-4747
(813) 254-8262
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
03/07/2008
Last updated
10/11/2018
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