MEDICARE: TALLAHASSEE NEUROLOGY ASSOCIATES, P.A.

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	2084N0400X	Neurology Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1013013929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALLAHASSEE NEUROLOGY ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	2868 MAHAN DR
Second Line	:	SUITE 5
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5468
Country	:	US
Telephone Number	:	850-942-7177
Fax Number	:	850-656-9443

Provider Business Practice Location Address
First Line	:	2868 MAHAN DR
Second Line	:	SUITE 5
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5468
Country	:	US
Telephone Number	:	850-942-7177
Fax Number	:	850-656-9443

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. MELINDA J DOYLE
Credential	:
Telephone Number	:	850-942-7177

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	10/24/2012

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