MEDICARE: TVG MEDICAL GROUP PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1245168582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TVG MEDICAL GROUP PLLC

Provider Business Mailing Address
First Line	:	3611 14TH AVE STE 340
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3750
Country	:	US
Telephone Number	:	718-819-6144
Fax Number	:	718-819-6145

Provider Business Practice Location Address
First Line	:	15310 AMBERLY DR # 66
Second Line	:
City	:	TAMPA PALMS
State	:	FL
Zip	:	33647-2199
Country	:	US
Telephone Number	:	718-819-6144
Fax Number	:	718-819-6145

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	JONATHAN GAMSS
Credential	:
Telephone Number	:	718-819-6144

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	06/30/2026

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