# ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710363957
- **Authorized official:** DR. SCOTT GOLDSMITH M.D. (M.D.)
- **Authorized official phone:** (813) 684-2663

## Contact information

- **Practice address:** 4541 S DALE MABRY HWY, TAMPA, FL 33611
- **Practice address phone:** (813) 684-2663
- **Practice address fax:** (813) 877-3017
- **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 |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 10/22/2024