Healthcare Provider Details

I. General information

NPI: 1326386293
Provider Name (Legal Business Name): FLORIDA MEDICAL PRACTICE PLAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2013
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 ROBERTS AVE
TALLAHASSEE FL
32310-5007
US

IV. Provider business mailing address

2911 ROBERTS AVE
TALLAHASSEE FL
32310-5007
US

V. Phone/Fax

Practice location:
  • Phone: 850-644-1543
  • Fax: 855-230-7421
Mailing address:
  • Phone: 850-644-1542
  • Fax: 855-230-7421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: ALMA B LITTLES
Title or Position: DEAN
Credential: MD
Phone: 850-644-5024