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2200 South Monroe St Tallahassee FL 32301-6303 | |
| (850) 354-8765 | |
| (850) 900-5941 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 2200 South Monroe St, Tallahassee, Florida |
| Authorized Official Name and Position | Robert Renzi (CEO) |
| Authorized Official Contact | 8506562437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2201 S Monroe St Tallahassee FL 32301-6302 Ph: (850) 656-2437 | 2200 South Monroe St Tallahassee FL 32301-6303 Ph: (850) 354-8765 |
| NPI Number | 1023531704 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 01/19/2018 |
| Medicare PECOS PAC ID | 6608138912 |
|---|---|
| Medicare Enrollment ID | O20180327000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023531704 | NPI | - | NPPES |
| Provider Name | Joseph M Mazziotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952375974 PECOS PAC ID: 3476516790 Enrollment ID: I20041108001055 |
| Provider Name | Anthony Charles Speights |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275572489 PECOS PAC ID: 6002832508 Enrollment ID: I20051024000151 |
| Provider Name | Jonathan S Appelbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215975503 PECOS PAC ID: 9133153182 Enrollment ID: I20100208000236 |
| Provider Name | Eula Dorine Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336552579 PECOS PAC ID: 6406184662 Enrollment ID: I20190826002742 |
| Provider Name | Jessica Diane Veloza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215639943 PECOS PAC ID: 7214393578 Enrollment ID: I20230512000014 |
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