OrganizationActive
Tampa General Medical Group Inc
NPI 1306608500 · Internal Medicine Physician · Crystal River, FL
Provider details
- NPI number
- 1306608500
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Tampa General Medical Group Inc
- Organization subpart
- Yes
- Authorized official
- Peter Chang, Svp Chief Trnsfrmtn Ofcr(813) 844-3829
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1601 Se US Highway 19 Ste 1667
Crystal River, FL 34429-4830
Phone: (352) 563-2407
Street-level locationGet directions
Mailing address
Po Box 1289
Tampa, FL 33601-1289
Other names (DBA / former)
- Doing business as
- Tgh Crystal River Wound Care Center
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.