# TAMPA GENERAL MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TAMPA GENERAL MEDICAL GROUP INC
- **Other names:** TAMPA GENERAL HOSPITAL TRANSPLANT INSTITUTE FORT MYERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720641574
- **Legal business name:** TAMPA GENERAL MEDICAL GROUP INC
- **Authorized official:** PETER TRAVIS RIAD CHANG (VP CARE TRANSITIONS)
- **Authorized official phone:** (813) 821-8460

## Contact information

- **Practice address:** 14131 METROPOLIS AVE STE 103, FORT MYERS, FL 33912-4455
- **Practice address phone:** (239) 224-3501
- **Practice address fax:** (239) 224-3525
- **Mailing address:** PO BOX 1289, TAMPA, FL 33601-1289
- **Mailing address phone:** (813) 821-8460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | — | NULL | Yes |
| 204F00000X | Transplant Surgery Physician | — | — | Yes |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 12/15/2025