| Tallahassee Vein & Face Clinic Inc | |
|
2822 Remington Green Cir Suite 102 Tallahassee FL 32308-3769 | |
| (850) 561-8346 | |
| (850) 576-8346 |
| Full Name | Tallahassee Vein & Face Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2822 Remington Green Cir, Tallahassee, Florida |
| Authorized Official Name and Position | Charles Kent (OWNER) |
| Authorized Official Contact | 8505618346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Vein & Face Clinic Inc 2822 Remington Green Cir Suite 102 Tallahassee FL 32308-3769 Ph: (850) 561-8346 | Tallahassee Vein & Face Clinic Inc 2822 Remington Green Cir Suite 102 Tallahassee FL 32308-3769 Ph: (850) 561-8346 |
| NPI Number | 1639344765 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 08/18/2008 |
| Medicare PECOS PAC ID | 4880757400 |
|---|---|
| Medicare Enrollment ID | O20090108000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639344765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME40570 (Florida) | Primary |
| Provider Name | Charles W Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205891850 PECOS PAC ID: 3577586874 Enrollment ID: I20090108000264 |
| Provider Name | Haley Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619549193 PECOS PAC ID: 0840675500 Enrollment ID: I20220915002508 |
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