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Orthopaedic Medical Group Of Tampa Bay PA

Orthopaedic Surgery in Lithia, FL. Organization (NPI-2).

NPI number1740407121
StatusActive
Last updated in NPPESOct 22, 2024

Details

NPI
1740407121
Entity type
Organization (NPI-2)
Legal business name
Orthopaedic Medical Group Of Tampa Bay PA
Organization subpart
No
Enumeration date
Apr 19, 2007
Certification date
Oct 22, 2024
Last updated
Oct 22, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes
207T00000X Neurological Surgery––
207XX0005X Orthopaedic Surgery, Sports Medicine––
208100000X Physical Medicine & Rehabilitation––
213E00000X Podiatrist––
332B00000X Durable Medical Equipment & Medical Supplies––
363A00000X Physician Assistant––

Practice location

13837 Circa Crossing Dr
Lithia, FL 33547

Phone 813-684-2663 · Fax 813-441-7161

Mailing address

Po Box 850001 Dept 8272
Orlando, FL 32885-8272

Phone 813-684-2663 · Fax 813-441-7161

Authorized official

Scott E Goldsmith
President
8136842663

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthopaedic Surgery Physician providers in Lithia, FL

All 13 Orthopaedic Surgery Physician providers in Lithia · All 466 providers in Lithia

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