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Organization
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Active
Organization
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT E GOLDSMITH MD (PRESIDENT)
(813) 684-2663
Entity
Organization
Contact information
Practice address
13837 CIRCA CROSSING DR, LITHIA, FL 33547
(813) 684-2663
(813) 441-7161
Mailing address
PO BOX 850001 DEPT 8272, ORLANDO, FL 32885-8272
(813) 684-2663
(813) 441-7161
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/19/2007
Last updated
10/22/2024
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