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Organization

TAMPA GENERAL MEDICAL GROUP INC

Active
Parent organization
TAMPA GENERAL MEDICAL GROUP INC
Other names
TGMG Pinellas Park
Organization subpart
Yes

Provider details

NPI number
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Authorized official
PETER TRAVIS RIAD CHANG (VP CARE TRANSITIONS)
(813) 844-3956
Entity
Organization

Contact information

Practice address
6088 PARK BLVD N, PINELLAS PARK, FL 33781-3231
(727) 828-6360
(727) 828-6361
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
05/05/2021
Last updated
12/23/2025
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