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NPI Code Detail

MEDICARE: TALLAHASSEE MEMORIAL HEALTHCARE INC

MEDICARE: TALLAHASSEE MEMORIAL HEALTHCARE INC
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
1207RC0001XClinical Cardiac Electrophysiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396365623
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALLAHASSEE MEMORIAL HEALTHCARE INC
Provider Business Mailing Address
First Line : 1607 SAINT JAMES CT STE 1
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-5352
Country : US
Telephone Number : 850-431-7021
Fax Number :
Provider Business Practice Location Address
First Line : 2100 CENTERVILLE RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4379
Country : US
Telephone Number : 850-216-0100
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JENNIFER PARKS
Credential :
Telephone Number : 850-431-6234
Provider Enumeration Date : 04/16/2020
Last Update Date : 01/09/2025

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Directions to “TALLAHASSEE MEMORIAL HEALTHCARE INC ” Practice Location

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