| NPI | 1083298137 |
|---|---|
| Doing Business As | TGMG PINELLAS PARK |
| Entity Type | Organization |
| Authorized Contact | PETER TRAVIS RIAD CHANG VP Care Transitions 813-844-3956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-10-13 |