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NPI 1710157680 · live from the CMS NPI Registry

Ankle & Foot Center Of Tampa Bay

Podiatrist, Foot & Ankle Surgery in Tampa, FL. National Provider Identifier 1710157680, active.

NPI record

NPI1710157680 Type 2 · organization
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location13389 N 56th St Bldg J, Tampa, FL 33617
Practice phone813-989-2424
Mailing address2835 W De Leon St, Suite #101, Tampa, FL 33609
EnumeratedMarch 7, 2008
Last updatedOctober 11, 2018
Authorized officialRobert Creighton, Member

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist213E00000X—
Podiatrist, Primary Podiatric Medicine213EP1101X—
213ES0131X—
Podiatrist, Foot & Ankle Surgery primary213ES0103X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.