# TAMPA ORTHOPEDIC MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417078213
- **Authorized official:** MS. MARIA GISELA KNUDSEN (OWNER)
- **Authorized official phone:** (813) 875-7626

## Contact information

- **Practice address:** 1914 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6510
- **Practice address phone:** (813) 875-7626
- **Practice address fax:** (813) 875-4167
- **Mailing address:** PO BOX 151896, TAMPA, FL 33684-1896
- **Mailing address phone:** (813) 875-7626
- **Mailing address fax:** (813) 875-4167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH6030 | FL | — |
| 208D00000X | General Practice Physician | ME36421 | FL | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 09/11/2025