# ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
- **Other names:** Orthopaedic Medical Group of Tampa Bay PA, Orthopaedic Medical Group Physical Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760979140
- **Legal business name:** ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
- **Authorized official:** TARYN REID (CREDENTIALING MANAGER)
- **Authorized official phone:** (813) 534-0102

## Contact information

- **Practice address:** 10740 PALM RIVER RD STE 310, TAMPA, FL 33619-4577
- **Practice address phone:** (813) 684-2663
- **Mailing address:** 10740 PALM RIVER RD STE 310, TAMPA, FL 33619-4577
- **Mailing address phone:** (813) 684-2663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 09/16/2025