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Organization

TAMPA GENERAL MEDICAL GROUP INC

Active
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Organization

TAMPA GENERAL MEDICAL GROUP INC

Active
Parent organization
TAMPA GENERAL MEDICAL GROUP INC
Other names
TGH Heart & Vascular Institute South Tampa
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
1202 S CHURCH AVE STE A, TAMPA, FL 33629-5017
(813) 821-8095
(813) 821-8309
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary

Other

Enumeration date
04/26/2022
Last updated
12/19/2025
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