MEDICARE: TAMPA ORTHOPEDIC CLINIC,LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	94742	OTHER	FL	BS GROUP ID#

General Provider Information

NPI Number	:	1972697944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA ORTHOPEDIC CLINIC,LLP

Provider Business Mailing Address
First Line	:	21756 STATE ROAD 54 STE 102A
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33549-2905
Country	:	US
Telephone Number	:	813-977-4767
Fax Number	:	813-977-6275

Provider Business Practice Location Address
First Line	:	21756 STATE ROAD 54 STE 102A
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33549-2905
Country	:	US
Telephone Number	:	813-977-4767
Fax Number	:	813-977-6275

Authorized Official
Title or Position	:	PARTNER
Name	:	GEORGE R COMPANIONI
Credential	:	MD
Telephone Number	:	813-977-4767

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/05/2026

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Directions to “TAMPA ORTHOPEDIC CLINIC,LLP ” Practice Location

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