| Orthopaedic Medical Group Of Tampa Bay Pa | |
|
2805 54th Ave N Ste 100 St Petersburg FL 33714-2414 | |
| (813) 684-2663 | |
| (813) 658-6222 |
| Full Name | Orthopaedic Medical Group Of Tampa Bay Pa |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 2805 54th Ave N Ste 100, St Petersburg, Florida |
| Authorized Official Name and Position | Scott Goldsmith (MD/PRESIDENT) |
| Authorized Official Contact | 8135340102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopaedic Medical Group Of Tampa Bay Pa Po Box 850001 Dept 8272 Orlando FL 32885-8272 Ph: (813) 684-2663 | Orthopaedic Medical Group Of Tampa Bay Pa 2805 54th Ave N Ste 100 St Petersburg FL 33714-2414 Ph: (813) 684-2663 |
| NPI Number | 1699205815 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 10/22/2024 |
| Medicare PECOS PAC ID | 9436220415 |
|---|---|
| Medicare Enrollment ID | O20190717001529 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699205815 | NPI | - | NPPES |
| 122422100 | Medicaid | FL |
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