# MY DOCTOR MEDICAL GROUP CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295237675
- **Authorized official:** ALEJANDRO GONZALEZ (PRESIDENT)
- **Authorized official phone:** (813) 280-4909

## Contact information

- **Practice address:** 6822 W WATERS AVE, TAMPA, FL 33634-2212
- **Practice address phone:** (813) 280-4909
- **Practice address fax:** (813) 302-7143
- **Mailing address:** 6822 W WATERS AVE, TAMPA, FL 33634-2212
- **Mailing address phone:** (813) 280-4909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/01/2018
- **Last updated:** 09/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101345800 | — | FL |