| NPI | 1760979140 |
|---|---|
| Doing Business As | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA |
| Entity Type | Organization |
| Authorized Contact | TARYN REID Credentialing Manager 813-534-0102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-09-16 |