NPI | 1679349468 |
---|---|
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 | 2023-12-01 |
Last Update Date | 2023-12-01 |