NPI 1558402479

Creighton Health Care INC

Organisation Neuromusculoskeletal Medicine & OMM Physician Tampa, FL

Practice location

Address: 9724 N Armenia Ave Suite 100, Tampa, FL 33612-7550
Phone: (813) 915-8666
Fax: (813) 930-9536

Authorised official

Name: Tara Dejesus
Title: Manager
Phone: (813) 915-8666

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 0038694 (FL)

Other Neuromusculoskeletal Medicine & OMM providers in Florida →

Registry record

NPI: 1558402479
Entity type: Organization
NPI issued: 12 Feb 2007
Record last updated: 22 Aug 2020

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.