# ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA

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

## Provider details

- **NPI number:** 1699205815
- **Authorized official:** SCOTT GOLDSMITH (MD/PRESIDENT)
- **Authorized official phone:** (813) 534-0102

## Contact information

- **Practice address:** 2805 54TH AVE N STE 100, ST PETERSBURG, FL 33714-2414
- **Practice address phone:** (813) 684-2663
- **Practice address fax:** (813) 658-6222
- **Mailing address:** PO BOX 850001 DEPT 8272, ORLANDO, FL 32885-8272
- **Mailing address phone:** (813) 684-2663
- **Mailing address fax:** (813) 441-7161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2017
- **Last updated:** 10/22/2024