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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1447187042
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	:	9320 US HIGHWAY 301 S STE 160
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-6300
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	:	05/06/2026
Last Update Date	:	05/06/2026

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