# TAMPA GENERAL MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1912848961
- **Legal business name:** TAMPA GENERAL MEDICAL GROUP INC
- **Authorized official:** PETER TRAVIS RIAD CHANG (SVP CHIEF TRNSFRMTN OFCR FHSC)
- **Authorized official phone:** (813) 844-3862

## Contact information

- **Practice address:** 42040 CYPRESS PKWY, PUNTA GORDA, FL 33982-5495
- **Practice address phone:** (941) 389-6001
- **Practice address fax:** (941) 389-6901
- **Mailing address:** PO BOX 1289, TAMPA, FL 33601-1289
- **Mailing address phone:** (813) 844-3956

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2026
- **Last updated:** 04/03/2026