Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Other names
TGMG NEPHROLOGY LAKEVIEW
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
3419 N LAKEVIEW DR, TAMPA, FL 33618
(813) 844-7600
(813) 844-1996
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/05/2015
Last updated
04/18/2023
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