NPI | 1205416617 |
---|---|
Doing Business As | TGMG NORTH RIVERVIEW |
Entity Type | Organization |
Authorized Contact | PETER TRAVIS RIAD CHANG VP Care Transitions 813-844-3956 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-10-12 |