Whalio Doctors

NPI 1154839330

Florida Craniofacial Associates LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Tampa, FL

Practice location

Address
4200 N Armenia Ave STE 3, Tampa, FL 33607-6451
Phone
(813) 870-6000
Fax
(813) 870-6015

Authorised official

Name
Peter Kemp
Title
Administrator
Phone
(813) 870-6000

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X

Registry record

NPI
1154839330
Entity type
Organization
NPI issued
22 Jan 2018
Record last updated
22 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.