Tampa General Medical Group INC

NPI #1174234355 in Tampa, Florida

Provider Information

NPI Number: 1174234355
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: Psychologist - Clinical
Enumeration Date: Dec 8, 2022
Last Updated: Dec 19, 2025

Practice Location

Address: 1411 N WEST SHORE BLVD STE 115
City: Tampa
State: Florida
ZIP Code: 33607-4564
Phone: (813) 844-3541

Authorized Official

Name: PETER TRAVIS RIAD CHANG
Title: VP HEALTHCARE DESIGN
Phone: (813) 844-3829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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