Organization
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Active
Parent organization
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY
Authorized official
SCOTT GOLDSMITH MD (PRESIDENT)
(813) 684-2663
Entity
Organization
Contact information
Practice address
1901 HAVERFORD AVE STE 107108, SUN CITY CENTER, FL 33573-5200
(813) 684-2663
(813) 658-6222
Mailing address
PO BOX 850001 DEPT 8272, ORLANDO, FL 32885-8272
(813) 684-2663
(813) 658-6222
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122422100
—
FL
Enumeration date
01/20/2022
Last updated
10/22/2024
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