| Effinger Health, Pa | |
|
1891 Capital Cir Ne Ste 9 Tallahassee FL 32308-4486 | |
| (888) 698-2714 | |
| (888) 698-2714 |
| Full Name | Effinger Health, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1891 Capital Cir Ne Ste 9, Tallahassee, Florida |
| Authorized Official Name and Position | William Lantz Effinger (DIRECTOR/PHYSICIAN) |
| Authorized Official Contact | 8886982714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Effinger Health, Pa 1891 Capital Cir Ne Ste 9 Tallahassee FL 32308-4486 Ph: (888) 698-2714 | Effinger Health, Pa 1891 Capital Cir Ne Ste 9 Tallahassee FL 32308-4486 Ph: (888) 698-2714 |
| NPI Number | 1629515325 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 09/07/2021 |
| Medicare PECOS PAC ID | 5799053476 |
|---|---|
| Medicare Enrollment ID | O20170621002500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629515325 | NPI | - | NPPES |
| 003429700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS11271 (Florida) | Primary |
| Provider Name | Pamela P Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235128869 PECOS PAC ID: 8426129446 Enrollment ID: I20080619000178 |
| Provider Name | William Lantz Effinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225327380 PECOS PAC ID: 3375701816 Enrollment ID: I20120313000781 |
| Provider Name | Denise Banks Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790224814 PECOS PAC ID: 8426325192 Enrollment ID: I20170913001366 |
| Provider Name | Ruben A De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295357424 PECOS PAC ID: 1759705734 Enrollment ID: I20200723000938 |
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