| Operation Phoenix Men's Health Pllc | |
|
1834a Jaclif Ct Tallahassee FL 32308-4400 | |
| (888) 280-1988 | |
| (866) 316-3947 |
| Full Name | Operation Phoenix Men's Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1834a Jaclif Ct, Tallahassee, Florida |
| Authorized Official Name and Position | Catherine Divingian (CEO) |
| Authorized Official Contact | 8509991132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Operation Phoenix Men's Health Pllc 1834a Jaclif Ct Tallahassee FL 32308-4400 Ph: (850) 999-1132 | Operation Phoenix Men's Health Pllc 1834a Jaclif Ct Tallahassee FL 32308-4400 Ph: (888) 280-1988 |
| NPI Number | 1811745094 |
|---|---|
| Provider Enumeration Date | 05/11/2024 |
| Last Update Date | 02/04/2025 |
| Medicare PECOS PAC ID | 2668905142 |
|---|---|
| Medicare Enrollment ID | O20241023002643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811745094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Catherine Divingian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407317746 PECOS PAC ID: 8224410782 Enrollment ID: I20241023002870 |
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