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NPI Code Detail

MEDICARE: TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.

MEDICARE: TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1134081771
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.
Provider Business Mailing Address
First Line : 5901 E FOWLER AVE STE 100
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-2305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 740 W PLYMOUTH AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-3282
Country : US
Telephone Number : 813-978-9700
Fax Number :
Authorized Official
Title or Position : CEO
Name : RAVI S. CHARI
Credential :
Telephone Number : 615-579-2733
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “TALLAHASSEE ORTHOPEDIC CLINIC III, P.L. ” Practice Location

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