Organization
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GOLDSMITH MD (PRESIDENT)
(813) 684-2663
Entity
Organization
Contact information
Practice address
400 AVENUE K SE STE 4, WINTER HAVEN, FL 33880-4123
(813) 684-2663
(813) 658-6222
Mailing address
PO BOX 850001 DEPT 8272, ORLANDO, FL 32885-8272
(813) 684-2263
(813) 441-7161
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122422100
—
FL
Enumeration date
08/10/2015
Last updated
10/22/2024
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