MEDICARE: TAMPA GENERAL MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1336920917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA GENERAL MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	PO BOX 1289
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33601-1289
Country	:	US
Telephone Number	:	813-844-3956
Fax Number	:

Provider Business Practice Location Address
First Line	:	10740 PALM RIVER RD STE 300
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4577
Country	:	US
Telephone Number	:	813-844-8910
Fax Number	:	813-844-5733

Authorized Official
Title or Position	:	VP HEALTHCARE DESIGN
Name	:	PETER TRAVIS RIAD CHANG
Credential	:
Telephone Number	:	813-844-3829

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	12/24/2025

Similar Medicare Providers

1861321820 — STEPHANIE ROSE LINTON DPT
Practice Location Address:

10740 PALM RIVER RD STE 310
TAMPA, FL
33619-4577

Practice Phone: 813-590-0553
Practice Fax:

1164952552 — RYAN BURKE DPT
Practice Location Address:

10740 PALM RIVER RD STE 310
TAMPA, FL
33619-4577

Practice Phone: 813-684-2663
Practice Fax:

1649782384 — RILEY HARMS
Practice Location Address:

10740 PALM RIVER RD STE 300
TAMPA, FL
33619-4577

Practice Phone: 813-651-3300
Practice Fax: 813-651-4455

1275020414 — ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Practice Location Address:

10740 PALM RIVER RD STE 310
TAMPA, FL
33619-4577

Practice Phone: 813-684-2663
Practice Fax: 813-654-1619

1760979140 — ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA
Practice Location Address:

10740 PALM RIVER RD STE 310
TAMPA, FL
33619-4577

Practice Phone: 813-684-2663
Practice Fax:

1518599935 — WILLIAM LAGROSA APRN
Practice Location Address:

10740 PALM RIVER RD STE 300
TAMPA, FL
33619-4577

Practice Phone: 813-651-3300
Practice Fax:

Directions to “TAMPA GENERAL MEDICAL GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.