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CREIGHTON HEALTH CARE INC NPI 1558402479


NPI Information

NPI: 1558402479
Provider Name: CREIGHTON HEALTH CARE INC
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization

CLIA Number: 10D2052809

Address:
9724 N ARMENIA AVE
SUITE 100
TAMPA, FL
ZIP 33612
Phone: (813) 915-8666
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CREIGHTON HEALTH CARE INC is a neuromusculoskeletal medicine omm in Tampa, FL. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. CREIGHTON HEALTH CARE INC NPI is 1558402479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9724 N ARMENIA AVE
SUITE 100
TAMPA, FL
ZIP 33612-550
Phone: (813) 915-8666
Fax: (813) 930-9536

The provider's authorized official is Tara Dejesus .
The authorized official title is Manager and has the following contact phone number (813) 915-8666.

The CLIA number assigned to this NPI record is 10D2052809 - other - health care clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.


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
1204D00000XNeuromusculoskeletal Medicine & OMM0038694FLORIDAYes

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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