Organization
TAMPA GENERAL MEDICAL GROUP INC
Active
Parent organization
TAMPA GENERAL MEDICAL GROUP INC
Other names
TAMPA GENERAL HOSPITAL TRANSPLANT INSTITUTE FORT MYERS
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) 821-8460
Entity
Organization
Contact information
Practice address
14131 METROPOLIS AVE STE 103, FORT MYERS, FL 33912-4455
(239) 224-3501
(239) 224-3525
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 821-8460
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
04/17/2019
Last updated
12/15/2025
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