| Jmc Mobility Of Tallahassee | |
|
1989 Capital Cir Ne Ste 9 Tallahassee FL 32308-4476 | |
| (850) 524-6127 | |
| Not Available |
| Full Name | Jmc Mobility Of Tallahassee |
|---|---|
| Speciality | Clinic/Center |
| Location | 1989 Capital Cir Ne Ste 9, Tallahassee, Florida |
| Authorized Official Name and Position | Joseph Michael Croom (PRESIDENT/OWNER) |
| Authorized Official Contact | 8505246157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmc Mobility Of Tallahassee 10723 Sycamore Ridge Ln Tallahassee FL 32305-1733 Ph: (850) 524-6157 | Jmc Mobility Of Tallahassee 1989 Capital Cir Ne Ste 9 Tallahassee FL 32308-4476 Ph: (850) 524-6127 |
| NPI Number | 1427563329 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 12/13/2017 |
| Medicare PECOS PAC ID | 4789947870 |
|---|---|
| Medicare Enrollment ID | O20180425000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427563329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Joni M Macri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902173461 PECOS PAC ID: 7113209982 Enrollment ID: I20170131002440 |
| Provider Name | Risa Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487798336 PECOS PAC ID: 8820339500 Enrollment ID: I20190405001074 |
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