Provider Demographics
NPI:1487251740
Name:AARON'S DOCTOR OFFICE
Entity type:Organization
Organization Name:AARON'S DOCTOR OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CREEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-774-5557
Mailing Address - Street 1:755 GRAND BLVD STE B-10578
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-1838
Mailing Address - Country:US
Mailing Address - Phone:850-774-5557
Mailing Address - Fax:
Practice Address - Street 1:36468 EMERALD COAST PKWY STE 1101
Practice Address - Street 2:
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-3723
Practice Address - Country:US
Practice Address - Phone:850-290-2154
Practice Address - Fax:866-939-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty