| Tgmg Tampa Palms | |
|
16011 Tampa Palms Blvd W Tampa FL 33647 | |
| (813) 844-8100 | |
| (813) 844-1106 |
| Full Name | Tgmg Tampa Palms |
|---|---|
| Speciality | Family Medicine |
| Location | 16011 Tampa Palms Blvd W, 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 Tampa Palms Po Box 1289 Tampa FL 33601-1289 Ph: (813) 844-3956 | Tgmg Tampa Palms 16011 Tampa Palms Blvd W Tampa FL 33647 Ph: (813) 844-8100 |
| NPI Number | 1689000176 |
|---|---|
| Provider Enumeration Date | 09/17/2013 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689000176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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