Tampa General Medical Group INC
NPI #1013779214 in Crystal River, Florida
Provider Information
- NPI Number
- 1013779214
- Entity Type
- Organization
- Organization Name
- Tampa General Medical Group INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TAMPA GENERAL MEDICAL GROUP INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 24, 2024
- Last Updated
- Jan 24, 2024
Practice Location
- Address
- 1601 SE US HIGHWAY 19 STE 1669
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4830
- Phone
- (352) 563-2407
Authorized Official
- Name
- PETER TRAVIS RIAD CHANG
- Title
- SVP CHIEF TRNSFRMTN OFCR
- Phone
- (813) 844-3829
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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