| Tgmg Fcc Boyette | |
|
11966 Boyette Rd Riverview FL 33569-5601 | |
| (813) 672-0408 | |
| Not Available |
| Full Name | Tgmg Fcc Boyette |
|---|---|
| Speciality | Family Medicine |
| Location | 11966 Boyette Rd, Riverview, Florida |
| Authorized Official Name and Position | Peter T Chang (CHIEF MEDICAL INFORMATICS OFFICER) |
| Authorized Official Contact | 8138443956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tgmg Fcc Boyette Po Box 1289 Tampa FL 33601-1289 Ph: (813) 844-3956 | Tgmg Fcc Boyette 11966 Boyette Rd Riverview FL 33569-5601 Ph: (813) 672-0408 |
| NPI Number | 1235546532 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235546532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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