Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Parent organization
TAMPA GENERAL MEDICAL GROUP INC
Other names
TGMG Orthopedics Cortez Boulevard
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Authorized official
PETER TRAVIS RIAD CHANG (SVP CHIEF TRNSFRMTN OFCR FHSC)
(813) 844-3829
Entity
Organization
Contact information
Practice address
12212 CORTEZ BLVD, BROOKSVILLE, FL 34613-2631
(352) 683-0007
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
12/24/2025
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