Bond On Magnolia | |
2200 South Monroe Tallahassee FL 32301 | |
(850) 576-4073 | |
(850) 577-0675 |
Full Name | Bond On Magnolia |
---|---|
Speciality | Family Medicine |
Location | 2200 South Monroe, Tallahassee, Florida |
Authorized Official Name and Position | Deirdre Vickers (BILLING SUPERVISOR) |
Authorized Official Contact | 8505764073 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bond On Magnolia 1720 S Gadsden St Tallahassee FL 32301-5506 Ph: (850) 576-4073 | Bond On Magnolia 2200 South Monroe Tallahassee FL 32301 Ph: (850) 576-4073 |
NPI Number | 1770084824 |
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Provider Enumeration Date | 02/23/2018 |
Last Update Date | 02/23/2018 |
Medicare PECOS PAC ID | 5294646766 |
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Medicare Enrollment ID | O20180518000314 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770084824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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