MEDICARE: MORIAM O BALOGUN ARNP

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	363LA2200X	Adult Health Nurse Practitioner	ARNP9355877	FL
2	363LG0600X	Gerontology Nurse Practitioner	ARNP9355877	FL

General Provider Information

NPI Number	:	1932637931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORIAM O BALOGUN ARNP

Provider Business Mailing Address
First Line	:	3302 SAWTOOTH DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-7368
Country	:	US
Telephone Number	:	850-339-2952
Fax Number	:

Provider Business Practice Location Address
First Line	:	3302 SAWTOOTH DR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-7368
Country	:	US
Telephone Number	:	850-339-2952
Fax Number	:	850-339-2952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2017
Last Update Date	:	06/02/2017

Similar Medicare Providers

1619341419 — TRISTAN OWENS
Practice Location Address:

3322 SAWTOOTH DR
TALLAHASSEE, FL
32303-7368

Practice Phone: 850-570-3036
Practice Fax:

1164962619 — OWENS MANAGEMENT COMPANY
Practice Location Address:

3322 SAWTOOTH DR
TALLAHASSEE, FL
32303-7368

Practice Phone: 850-570-3036
Practice Fax:

1609729268 — BETHANY LIFE LLC
Practice Location Address:

3380 SAWTOOTH DR
TALLAHASSEE, FL
32303-7368

Practice Phone: 850-999-9695
Practice Fax:

1063304574 — AKAIBA SHEREE CUMMINGS
Practice Location Address:

3216 JIM LEE RD APT 4A
TALLAHASSEE, FL
32301-7368

Practice Phone: 850-264-3994
Practice Fax:

1164524039 — PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A
Practice Location Address:

1690 N MONROE ST
TALLAHASSEE, FL
32303-5533

Practice Phone: 850-385-2222
Practice Fax: 850-385-1844

1265431985 — MS. LINDA M DWINELL L.C.S.W.
Practice Location Address:

3840 N MONROE ST
TALLAHASSEE, FL
32303-2196

Practice Phone: 850-514-1929
Practice Fax:

Directions to “ MORIAM O BALOGUN ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.