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Organization

ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA

Active
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Organization

ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA

Active
Parent organization
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY
Authorized official
SCOTT GOLDSMITH MD (PRESIDENT)
(813) 684-2663
Entity
Organization

Contact information

Practice address
1901 HAVERFORD AVE STE 107108, SUN CITY CENTER, FL 33573-5200
(813) 684-2663
(813) 658-6222
Mailing address
PO BOX 850001 DEPT 8272, ORLANDO, FL 32885-8272
(813) 684-2663
(813) 658-6222

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—

Other

Enumeration date
01/20/2022
Last updated
10/22/2024
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