| Tgmg Lois | |
|
2106 S Lois Ave Fl 2 Tampa FL 33629 | |
| (813) 844-4200 | |
| (813) 844-1919 |
| Full Name | Tgmg Lois |
|---|---|
| Speciality | Family Medicine |
| Location | 2106 S Lois Ave, Tampa, Florida |
| Authorized Official Name and Position | Peter T Chang (CHIEF MEDICAL INFORMATICS OFFICER) |
| Authorized Official Contact | 8138443956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tgmg Lois Po Box 1289 Tampa FL 33601-1289 Ph: (813) 844-3956 | Tgmg Lois 2106 S Lois Ave Fl 2 Tampa FL 33629 Ph: (813) 844-4200 |
| NPI Number | 1164769063 |
|---|---|
| Provider Enumeration Date | 01/11/2013 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164769063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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