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NPI Code Detail

MEDICARE: TALLAHASSEE MEMORIAL HEALTHCARE INC

MEDICARE: TALLAHASSEE MEMORIAL HEALTHCARE INC
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
1261QM1300XMulti-Specialty Clinic/Center4080FL

General Provider Information

NPI Number : 1184029704
Entity Type Code : Organization
Provider Name (Legal Business Name) : TALLAHASSEE MEMORIAL HEALTHCARE INC
Provider Business Mailing Address
First Line : 1300 MEDICAL DR
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4646
Country : US
Telephone Number : 850-216-0190
Fax Number : 850-216-0112
Provider Business Practice Location Address
First Line : 1260 METROPOLITAN BLVD
Second Line : SUITE 301
City : TALLAHASSEE
State : FL
Zip : 32312-2557
Country : US
Telephone Number : 850-201-4801
Fax Number : 850-201-4802
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ROBIN L MOSS
Credential :
Telephone Number : 85043162561
Provider Enumeration Date : 10/24/2014
Last Update Date : 10/24/2014

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Directions to “TALLAHASSEE MEMORIAL HEALTHCARE INC ” Practice Location

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