Patients First Mahan Medical Center, Pa | |
1705 Mahan Dr Tallahassee FL 32308-5201 | |
(850) 877-7164 | |
(850) 656-1391 |
Full Name | Patients First Mahan Medical Center, Pa |
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Speciality | Family Medicine |
Location | 1705 Mahan Dr, Tallahassee, Florida |
Authorized Official Name and Position | Fredrick B. Lutz Iii (PRESIDENT) |
Authorized Official Contact | 8508777164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patients First Mahan Medical Center, Pa 1705 Mahan Dr Tallahassee FL 32308-5201 Ph: (850) 877-7164 | Patients First Mahan Medical Center, Pa 1705 Mahan Dr Tallahassee FL 32308-5201 Ph: (850) 877-7164 |
NPI Number | 1659571479 |
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Provider Enumeration Date | 07/19/2007 |
Last Update Date | 05/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659571479 | NPI | - | NPPES |
AH366 | Other | FL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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