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Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Other names
TGMG FCC MANHATTAN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER T CHANG M.D. (CHIEF MEDICAL INFORMATICS OFFICER)
(813) 844-3956
Entity
Organization
Contact information
Practice address
4212 S MANHATTAN AVE, TAMPA, FL 33611
(813) 837-8591
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
07/17/2014
Last updated
04/18/2023
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