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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 Babcock Ranch
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Authorized official
PETER TRAVIS RIAD CHANG (SVP CHIEF TRNSFRMTN OFCR FHSC)
(813) 844-3862
Entity
Organization
Contact information
Practice address
42040 CYPRESS PKWY, PUNTA GORDA, FL 33982-5495
(941) 389-6001
(941) 389-6901
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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