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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 N. Essex Avenue
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) 844-3829
Entity
Organization
Contact information
Practice address
2400 N ESSEX AVE, HERNANDO, FL 34442-5320
(352) 513-4276
(352) 513-5843
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
12/23/2025
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