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General NPI Number Information
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NPI Number | 1982402541
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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 | 03/07/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 17222 HOSPITAL BLVD STE 238
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City | BROOKSVILLE
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State | FL
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Zip | 34601-8925
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Country | US
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Telephone | 352-683-0007
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Fax | 352-556-5223
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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 | SVP CHIEF TRNSFRMTN OFCR FHSC
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Name | PETER TRAVIS RIAD CHANG
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Credential |
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Telephone | 813-844-3829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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