NPI 1174793046 · live from the CMS NPI Registry
Ankle & Foot Center Of Tampa Bay
Podiatrist, Foot & Ankle Surgery in Brandon, FL. National Provider Identifier 1174793046, active.
NPI record
| NPI | 1174793046 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 205 S Moon Ave, Suite #101, Brandon, FL 33511 |
| Practice phone | 813-571-0123 |
| Mailing address | 2835 W De Leon St, Suite #101, Tampa, FL 33609 |
| Enumerated | March 7, 2008 |
| Last updated | October 11, 2018 |
| Authorized official | Robert Creighton, Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | — |
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | — |
| 213ES0131X | — | |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.