NPI | 1376319160 |
---|---|
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 | 261QR0206X Clinic/Center, Radiology, Mammography |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | |
207X00000X Orthopaedic Surgery | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
2085R0202X Radiology, Diagnostic Radiology | |
208600000X Surgery | |
261QR0200X Clinic/Center, Radiology | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-12-01 |
Last Update Date | 2024-03-27 |