# TAMPA GENERAL MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TAMPA GENERAL MEDICAL GROUP INC
- **Other names:** TGMG Northcliffe Boulevard
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578344289
- **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:** 8425 NORTHCLIFFE BLVD STE 105, SPRING HILL, FL 34606-1107
- **Practice address phone:** (352) 544-6145
- **Practice address fax:** (352) 688-9189
- **Mailing address:** PO BOX 1289, TAMPA, FL 33601-1289
- **Mailing address phone:** (813) 844-8956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2023
- **Last updated:** 12/24/2025