| Florida Craniofacial Associates Llc | |
|
4200 N Armenia Ave Ste 3 Tampa FL 33607-6451 | |
| (813) 870-6000 | |
| (813) 870-6015 |
| Full Name | Florida Craniofacial Associates Llc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 4200 N Armenia Ave Ste 3, Tampa, Florida |
| Authorized Official Name and Position | Peter Kemp (ADMINISTRATOR) |
| Authorized Official Contact | 8138706000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Craniofacial Associates Llc 4200 N Armenia Ave Ste 3 Tampa FL 33607-6451 Ph: (813) 870-6000 | Florida Craniofacial Associates Llc 4200 N Armenia Ave Ste 3 Tampa FL 33607-6451 Ph: (813) 870-6000 |
| NPI Number | 1154839330 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154839330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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