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Organization

ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA

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
Legal business name
ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Authorized official
TARYN REID (CREDENTIALING MANAGER)
(813) 534-0102
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
04/20/2018
Last updated
09/16/2025
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