NPI | 1497574891 |
---|---|
Doing Business As | TGMG NORTHCLIFFE BOULEVARD |
Entity Type | Organization |
Authorized Contact | PETER TRAVIS RIAD CHANG SVP Chief Trnsfrmtn Ofcr Fhsc 813-844-3829 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-10-03 |
Last Update Date | 2024-10-03 |