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TAMPA GENERAL MEDICAL GROUP INC NPI 1578800462


NPI Information

NPI: 1578800462
Provider Name: TAMPA GENERAL MEDICAL GROUP INC

Doing Business As: TGH FAMILY CARE CENTER KENNEDY

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0895383

Address:
2501 W KENNEDY BLVD
TAMPA, FL
ZIP 33609
Phone: (813) 844-0344
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TAMPA GENERAL MEDICAL GROUP INC is a family medicine in Tampa, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TAMPA GENERAL MEDICAL GROUP INC NPI is 1578800462. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tgh Family Care Center Kennedy.

The provider's business location address is:

2501 W KENNEDY BLVD
TAMPA, FL
ZIP 33609
Phone: (813) 844-0344
Fax: (813) 254-0230

The provider's authorized official is Peter T Chang .
The authorized official title is Chief Medical Informatics Officer and has the following contact phone number (813) 844-3956.

The CLIA number assigned to this NPI record is 10D0895383 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2013 and was last updated on 4/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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