Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Parent organization
TAMPA GENERAL MEDICAL GROUP INC
Other names
TGMG Psychology Westshore
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Authorized official
PETER TRAVIS RIAD CHANG (VP HEALTHCARE DESIGN)
(813) 844-3829
Entity
Organization
Contact information
Practice address
1411 N WEST SHORE BLVD STE 115, TAMPA, FL 33607-4564
(813) 844-3541
(813) 844-4283
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/19/2025
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