Florida Craniofacial Associates LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

FLORIDA CRANIOFACIAL ASSOCIATES LLC

Practice address

4200 N Armenia Ave Ste 3
Tampa, FL 33607-6451

Phone

(813) 870-6000

Fax

(813) 870-6015

NPI assigned

Jan 22, 2018

Last updated

Jan 22, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Kemp

Title

Administrator

Phone

(813) 870-6000

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1154839330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076451",
            "telephone_number": "813-870-6000",
            "fax_number": "813-870-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE STE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076451",
            "telephone_number": "813-870-6000",
            "fax_number": "813-870-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CRANIOFACIAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-870-6000"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Clinical Laboratory, Inc
• Florida Clinical Quality Physicians Inc.
• Florida Coast Pharmacy
• Florida Coast Pharmacy
• Florida Concerned Care, LLC (Right at Home)
• Florida Craniofacial Institute
• Florida Dental Practices, LLC
• Florida Dental Professionals, P.a. (Somerset Dental Care)
• Florida Department of Florida (Hillsborough County Health Department)
• Florida Department of Health

• Oral & Maxillofacial Surgery (D.M.D.) in Tampa, FL
• Providers in Tampa, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.