| Tmhpp Endocrinology Specialists | |
|
2633 Centennial Blvd Ste 100 Tallahassee FL 32308-0606 | |
| (850) 877-7387 | |
| (850) 656-3376 |
| Full Name | Tmhpp Endocrinology Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 2633 Centennial Blvd Ste 100, Tallahassee, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmhpp Endocrinology Specialists 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tmhpp Endocrinology Specialists 2633 Centennial Blvd Ste 100 Tallahassee FL 32308-0606 Ph: (850) 877-7387 |
| NPI Number | 1790040160 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20120809000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790040160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Florida) | Primary |
| Provider Name | Kenyon L Mccune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881678555 PECOS PAC ID: 3870516669 Enrollment ID: I20060106000732 |
| Provider Name | Kathleen P Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679728026 PECOS PAC ID: 5698810711 Enrollment ID: I20100301000601 |
| Provider Name | Terry W Sherraden |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629003207 PECOS PAC ID: 8224133608 Enrollment ID: I20120130000024 |
| Provider Name | Katherin Snyder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043275480 PECOS PAC ID: 1658338702 Enrollment ID: I20130529000691 |
| Provider Name | Nancy Smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386991792 PECOS PAC ID: 1557509734 Enrollment ID: I20130529000723 |
| Provider Name | Omodele Ibitola Hogan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093940918 PECOS PAC ID: 8921244476 Enrollment ID: I20141114000338 |
| Provider Name | Jamie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972992931 PECOS PAC ID: 4486954583 Enrollment ID: I20151120002694 |
| Provider Name | Larry Deeb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497741839 PECOS PAC ID: 5193092146 Enrollment ID: I20170524000364 |
| Provider Name | Mohamad Sirri Tarazi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811251200 PECOS PAC ID: 7416229620 Enrollment ID: I20170823002370 |
| Provider Name | Katie Stefani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487037537 PECOS PAC ID: 9931402732 Enrollment ID: I20181010003434 |
| Provider Name | Lance Micheel Freeman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205097565 PECOS PAC ID: 4688817869 Enrollment ID: I20190108004081 |
| Provider Name | Amy Jacobs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396092631 PECOS PAC ID: 0840539060 Enrollment ID: I20190306002117 |
| Provider Name | Antoni Ramon Kafrouni Gerges |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659785756 PECOS PAC ID: 9830436120 Enrollment ID: I20190607000813 |
| Provider Name | Anju Agarwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164734620 PECOS PAC ID: 2860636602 Enrollment ID: I20210304000183 |
| Provider Name | Rajani Gundluru |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366756231 PECOS PAC ID: 0941431522 Enrollment ID: I20210609001791 |
| Provider Name | Jeremy Harmson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225564610 PECOS PAC ID: 2961826821 Enrollment ID: I20220629001001 |
| Provider Name | Fabiola De Los Angeles D'ambrosio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720406671 PECOS PAC ID: 0840500146 Enrollment ID: I20220926003689 |
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