Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Parent organization
TAMPA GENERAL MEDICAL GROUP INC
Other names
TGMG Obstetrics & Gynecology County Line Road
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
11175 COUNTY LINE RD, SPRING HILL, FL 34609-5615
(352) 686-8884
(352) 684-6888
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3956
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
12/24/2025
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