| Tallahassee Memorial Healthcare Inc | |
|
3900 Esplanade Way Tallahassee FL 32311-0802 | |
| (850) 431-3867 | |
| (850) 431-3879 |
| Full Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3900 Esplanade Way, Tallahassee, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Memorial Healthcare Inc 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tallahassee Memorial Healthcare Inc 3900 Esplanade Way Tallahassee FL 32311-0802 Ph: (850) 431-3867 |
| NPI Number | 1043540792 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 01/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043540792 | NPI | - | NPPES |
| 24766G | Other | FL | BLUE CROSS BLUE SHIELD OF FL |
| 375270416 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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