Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Florida Craniofacial Institute

Organization Specialist · NPI 1053499756

Florida Craniofacial Institute is a Specialist in Tampa, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

4200 N Armenia Ave Ste 3
Tampa, FL 33607-6451
Phone: (813) 870-6000
Fax: (813) 870-6015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13555 Automobile Blvd Bldg 2, Clearwater, FL 33762-3826 — (813) 870-6000

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence DN16594 (FL)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence ME88289 (FL)

Record details

NPI number1053499756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pat Ricalde — Owner · (813) 870-6000
NPI enumeratedNovember 1, 2006
Last updated in NPPESJune 18, 2024
Certification dateJune 14, 2022
Mailing address4200 N Armenia Ave Ste 3, Tampa, FL 33607-6451

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