Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME137849 | FL |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME137849 | FL |
NPI | 1265795918 |
---|---|
Provider Name | Aaron Todd Creek |
First Address | Santa Rosa Beach, FL 32459-4280 |
Second Address | Miramar Beach, FL 32550-7230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2012 |
Last Update Date | 29/10/2020 |