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Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Parent organization
TAMPA GENERAL MEDICAL GROUP INC
Other names
TGMG St. Pete
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Authorized official
PETER TRAVIS RIAD CHANG (VP HEALTHCARE DESIGN)
(813) 844-3956
Entity
Organization
Contact information
Practice address
4949 4TH ST N, SAINT PETERSBURG, FL 33703-3800
(727) 828-6370
(727) 828-6371
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
2086X0206X
Surgical Oncology Physician
—
NULL
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
NULL
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
12/23/2025
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