NPI | 1073392247 |
---|---|
Doing Business As | TGMG NORTHCLIFFE BOULEVARD |
Entity Type | Organization |
Authorized Contact | PETER TRAVIS RIAD CHANG VP Healthcare Design 813-844-3829 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2023-09-26 |
Last Update Date | 2023-11-03 |