# TAMPA GENERAL MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TAMPA GENERAL MEDICAL GROUP INC
- **Other names:** TGMG St. Pete
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144952706
- **Legal business name:** TAMPA GENERAL MEDICAL GROUP INC
- **Authorized official:** PETER TRAVIS RIAD CHANG (VP HEALTHCARE DESIGN)
- **Authorized official phone:** (813) 844-3956

## Contact information

- **Practice address:** 4949 4TH ST N, SAINT PETERSBURG, FL 33703-3800
- **Practice address phone:** (727) 828-6370
- **Practice address fax:** (727) 828-6371
- **Mailing address:** PO BOX 1289, TAMPA, FL 33601-1289
- **Mailing address phone:** (813) 844-3956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 12/23/2025