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NPI Code Detail

MEDICARE: DR. GERALD EDWIN TOWNSEND JR. M.D.

MEDICARE: DR. GERALD EDWIN TOWNSEND JR. M.D.
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
1207Q00000XFamily Medicine PhysicianME0058357FL

General Provider Information

NPI Number : 1588641120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD EDWIN TOWNSEND JR. M.D.
Provider Business Mailing Address
First Line : 2181 ORANGE AVE E
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-6144
Country : US
Telephone Number : 850-513-7521
Fax Number :
Provider Business Practice Location Address
First Line : 2181 ORANGE AVE E
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32311-6144
Country : US
Telephone Number : 850-513-7521
Fax Number : 850-913-8000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2005
Last Update Date : 05/05/2022

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