Healthcare Provider Details

I. General information

NPI: 1598872228
Provider Name (Legal Business Name): CRAIG F BISCEGLIA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13404 PALMERA VISTA DR
RIVERVIEW FL
33579-3506
US

IV. Provider business mailing address

13404 PALMERA VISTA DR
RIVERVIEW FL
33579-3506
US

V. Phone/Fax

Practice location:
  • Phone: 813-599-4820
  • Fax:
Mailing address:
  • Phone: 813-599-4820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4747
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: