# FLORIDA MUSCULOSKELETAL SURGICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopaedic Specialties of Tampa Bay DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588001127
- **Authorized official:** YOLANDA GODFREY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (727) 369-5037

## Contact information

- **Practice address:** 1011 JEFFORDS ST STE C&D, CLEARWATER, FL 33756-4070
- **Practice address phone:** (727) 446-5993
- **Practice address fax:** (727) 446-4477
- **Mailing address:** 1011 JEFFORDS ST STE C&D, CLEARWATER, FL 33756-4070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 11/07/2013
