| Te Enoch Md Llc | |
|
1616 Riggins Rd Tallahassee FL 32308-5316 | |
| (850) 656-8944 | |
| (850) 878-1824 |
| Full Name | Te Enoch Md Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1616 Riggins Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Tommy Errice Enoch (MANAGER) |
| Authorized Official Contact | 8506568944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Te Enoch Md Llc 1616 Riggins Rd Tallahassee FL 32308-5316 Ph: (850) 656-8944 | Te Enoch Md Llc 1616 Riggins Rd Tallahassee FL 32308-5316 Ph: (850) 656-8944 |
| NPI Number | 1295783504 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295783504 | NPI | - | NPPES |
| 78078 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 22081 (Florida) | Primary |
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