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ANKLE & FOOT CENTER OF TAMPA BAY NPI 1265419964


NPI Information

NPI: 1265419964
Provider Name: ANKLE & FOOT CENTER OF TAMPA BAY

Doing Business As: ANKLE & FOOT CENTER

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2835 W DE LEON ST
SUITE 101
TAMPA, FL
ZIP 33609
Phone: (813) 254-6592
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ANKLE & FOOT CENTER OF TAMPA BAY is a podiatrist in Tampa, FL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ANKLE & FOOT CENTER OF TAMPA BAY NPI is 1265419964. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ankle & Foot Center.

The provider's business location address is:

2835 W DE LEON ST
SUITE 101
TAMPA, FL
ZIP 33609-168
Phone: (813) 254-6592
Fax: (813) 254-3634

The provider's authorized official is Robert E Creighton .
The authorized official title is Member and has the following contact phone number (813) 254-4747.

The enumeration date for this NPI number is 12/23/2005 and was last updated on 10/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
197860OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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