# FMSG ALL FLORIDA ORTHOPAEDIC ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All Florida Orthopaedic Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073061107
- **Authorized official:** MANINA BOSWORTH (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (727) 369-5046

## Contact information

- **Practice address:** 4600 4TH ST N \# 4TH, ST PETERSBURG, FL 33703-3802
- **Practice address phone:** (727) 527-5272
- **Practice address fax:** (727) 522-7412
- **Mailing address:** 4600 4TH ST N \# 4TH, ST PETERSBURG, FL 33703-3802
- **Mailing address phone:** (727) 527-5272
- **Mailing address fax:** (727) 522-7412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2016
- **Last updated:** 09/19/2016