Organization · Type 2 NPI

Tampa General Medical Group Inc

Family Medicine Physician · Crystal River, FL

NPI number 1851170104 Active

Practice location

7006 W Gulf To Lake Hwy
Crystal River, FL 34429-7838

Call (352) 794-3872 Map

Fax (352) 794-3879

Mailing address

PO Box 1289
Tampa, FL 33601-1289

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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.

4 other providers at this address

Other family medicine physician providers in Crystal River

See all in Crystal River →

NPI record

NPI: 1851170104
Entity type: Organization (Type 2)
Issued: Sep 26, 2023
Last updated: Dec 23, 2025
Status: Active
Subpart: Yes of Tampa General Medical Group Inc

Other names

TGMG Gulf To Lake Highway · doing business as

Authorized official

Peter Travis Riad Chang
VP Healthcare Design
(813) 844-3829

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1851170104

Tampa General Medical Group Inc's National Provider Identifier is 1851170104, issued on Sep 26, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Crystal River, FL. The record was last updated on Dec 23, 2025.