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Organization
TAMPA BAY ORTHOPEDIC SURGERY GROUP
Active
Organization
TAMPA BAY ORTHOPEDIC SURGERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GALLOWAY III DC (OWNER)
(813) 420-3822
Entity
Organization
Contact information
Practice address
1100 W KENNEDY BLVD, TAMPA, FL 33606-1966
(813) 258-6051
Mailing address
1100 W KENNEDY BLVD, TAMPA, FL 33606-1966
(813) 253-3111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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