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Contact Information

ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
13837 CIRCA CROSSING DR
LITHIA, FL33547
 Phone: 813-684-2663
 Fax: 813-441-7161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Podiatrist

213E00000X 48 Podiatry
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA · (Female)

NPI Number 1740407121
Status Active
Credentials
Entity Individual
Enumeration date 04/19/2007
Last updated 10/22/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 122422100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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