| Tampa General Medical Group Inc | |
|
19027 Wingshooter Way Lutz FL 33558 | |
| (813) 660-7900 | |
| (813) 821-9821 |
| Full Name | Tampa General Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 19027 Wingshooter Way, Lutz, Florida |
| Authorized Official Name and Position | Peter Travis Riad Chang (SVP CHIEF TRNSFRMTN OFCR FHSC) |
| Authorized Official Contact | 8138443956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa General Medical Group Inc Po Box 1289 Tampa FL 33601-1289 Ph: (813) 844-3956 | Tampa General Medical Group Inc 19027 Wingshooter Way Lutz FL 33558 Ph: (813) 660-7900 |
| NPI Number | 1407698566 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407698566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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