TAMPA GENERAL MEDICAL GROUP INC NPI 1720641574

NPI Information

  • NPI: 1720641574
  • Provider Name: TAMPA GENERAL MEDICAL GROUP INC
  • Classification: Transplant Surgery - 204F00000X
  • Entity Type: Organization
  • Doing Business As: TAMPA GENERAL HOSPITAL TRANSPLANT INSTITUTE FORT MYERS
  • CLIA Number: 10D2164249
  • Address: 14131 METROPOLIS AVE STE 103
    FORT MYERS, FL
    ZIP 33912
  • Phone: (239) 224-3501

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NPI Details

TAMPA GENERAL MEDICAL GROUP INC is a transplant surgery in Fort Myers, FL. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee TAMPA GENERAL MEDICAL GROUP INC NPI is 1720641574. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tampa General Hospital Transplant Institute Fort Myers.

The provider's business location address is:

14131 METROPOLIS AVE STE 103
FORT MYERS, FL
ZIP 33912-455
Phone: (239) 224-3501
Fax: (239) 224-3525

The provider's authorized official is Peter Travis Riad Chang .
The authorized official title is Vp Care Transitions and has the following contact phone number (813) 844-3956.

The CLIA number assigned to this NPI record is 10D2164249 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 2/23/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyNo
2204F00000XTransplant SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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