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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356824320
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	:	813-660-6620

Provider Business Practice Location Address
First Line	:	2333 W HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1052
Country	:	US
Telephone Number	:	813-844-7000
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	PETER CHANG
Credential	:	MD
Telephone Number	:	813-844-3956

Provider Enumeration Date	:	09/14/2018
Last Update Date	:	12/22/2025

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