# TAMPA GENERAL MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TAMPA GENERAL MEDICAL GROUP INC
- **Other names:** TGMG Obstetrics & Gynecology County Line Road
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487433744
- **Legal business name:** TAMPA GENERAL MEDICAL GROUP INC
- **Authorized official:** PETER TRAVIS RIAD CHANG (VP HEALTHCARE DESIGN)
- **Authorized official phone:** (813) 844-3829

## Contact information

- **Practice address:** 11175 COUNTY LINE RD, SPRING HILL, FL 34609-5615
- **Practice address phone:** (352) 686-8884
- **Practice address fax:** (352) 684-6888
- **Mailing address:** PO BOX 1289, TAMPA, FL 33601-1289
- **Mailing address phone:** (813) 844-3956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2023
- **Last updated:** 12/24/2025