| NPI | 1144952706 |
|---|---|
| Doing Business As | TGMG ST. PETE |
| Entity Type | Organization |
| Authorized Contact | PETER TRAVIS RIAD CHANG VP Healthcare Design 813-844-3956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2086X0206X Surgery, Surgical Oncology | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-05-11 |