NPI | 1043099211 |
---|---|
Doing Business As | TGMG GENERAL SURGERY 17222 HOSPITAL BOULEVARD |
Entity Type | Organization |
Authorized Contact | PETER TRAVIS RIAD CHANG VP Healthcare Design 813-844-3829 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2023-09-26 |
Last Update Date | 2025-07-31 |