Organization
ANKLE & FOOT CENTER OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E CREIGHTON DPM (MEMBER)
(813) 254-4747
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD STE 305, BROOKSVILLE, FL 34613-5411
(352) 596-8348
(352) 596-7051
Mailing address
2835 W DE LEON ST, TAMPA, FL 33609-5518
(813) 254-4747
(813) 254-8262
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/11/2018
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