| Tallahassee Memorial Healthcare Inc | |
|
1301 Hodges Dr Tallahassee FL 32308-4614 | |
| (850) 431-3456 | |
| (850) 431-6403 |
| Full Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 Hodges Dr, 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 1301 Hodges Dr Tallahassee FL 32308-4614 Ph: (850) 431-3456 |
| NPI Number | 1770647620 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770647620 | NPI | - | NPPES |
| 060409700 | Medicaid | FL | |
| 99325 | Other | FL | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| 207V00000X | Obstetrics & Gynecology | (Florida) | Secondary |
| 208000000X | Pediatrics | (Florida) | Secondary |
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