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Organization
COASTAL SHOULDER SURGERY & SPORTS MEDICINE
Active
Organization
COASTAL SHOULDER SURGERY & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GORDON LEWIS (OWNER)
(727) 475-1166
Entity
Organization
Contact information
Practice address
8240 118TH AVE STE 350, LARGO, FL 33773-5015
(706) 596-8844
Mailing address
8240 118TH AVE STE 350, LARGO, FL 33773-5015
(727) 475-1166
(727) 333-7776
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
10/15/2025
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