MEDICARE: TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1235087925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.

Provider Business Mailing Address
First Line	:	3334 CAPITAL MEDICAL BLVD STE 400
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4470
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6748 GALL BLVD
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2545
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RAVI S. CHARI
Credential	:
Telephone Number	:	615-579-2733

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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