Organization
TAMPA BAY ORTHOPAEDIC & SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WALL MD (SOLE MBR)
(727) 501-2347
Entity
Organization
Contact information
Practice address
1811 N BELCHER RD, SUITE H-2, CLEARWATER, FL 33765-1433
(727) 672-4637
(727) 724-6377
Mailing address
1811 N BELCHER RD, SUITE H-2, CLEARWATER, FL 33765-1433
(727) 672-4637
(727) 724-6377
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS8857
FL
208VP0000X
Pain Medicine Physician
Primary
ME48335
FL
Other
Enumeration date
06/08/2009
Last updated
11/13/2015
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