MEDICARE: TAMPA GENERAL PROVIDER NETWORK 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	207Q00000X	Family Medicine Physician
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) 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	:	1497494843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMPA GENERAL PROVIDER NETWORK INC

Provider Business Mailing Address
First Line	:	PO BOX 95000-7370
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19195-0001
Country	:	US
Telephone Number	:	855-235-3496
Fax Number	:

Provider Business Practice Location Address
First Line	:	4620 PGA BLVD STE 101
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-3991
Country	:	US
Telephone Number	:	561-832-1234
Fax Number	:	561-832-5316

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABRAHAM B SCHWARZBERG
Credential	:	MD
Telephone Number	:	561-253-3980

Provider Enumeration Date	:	06/02/2022
Last Update Date	:	08/15/2025

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Directions to “TAMPA GENERAL PROVIDER NETWORK INC ” Practice Location

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