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General NPI Number Information
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NPI Number | 1962819250
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Entity Type | Organization
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Legal Business Name | TAMPA GENERAL MEDICAL GROUP INC
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 2433 COUNTRY PLACE BLVD
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City | TRINITY
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State | FL
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Zip | 34655-1163
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Country | US
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Telephone | 813-844-8200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | TAMPA
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State | FL
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Zip | 33601-1289
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Country | US
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Telephone | 813-844-3956
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL INFORMATICS OFFICER
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Name | DR. PETER T CHANG
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Credential | M.D.
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Telephone | 813-844-3956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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