Organization

Deerfield Beach Physician Services, Llc

Internal Medicine Physician in Tallahassee, FL(View on Map)

Legal Business Name

Deerfield Beach Physician Services, Llc

NPI Number

1366100364

NPI Type

Organization

Enumeration Date

12/07/2021

Specialties

(Taxonomies)

Code

207R00000X
208M00000X
363L00000X
363A00000X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

200 CORPORATE BLVD
2626 CAPITAL MEDICAL BLVD

City

Lafayette
Tallahassee

State

LA
FL

Postal Code

70508-3870
32308-4402

Country

US
US

Telephone Number

(800) 893-9698
(850) 325-5000

Authorized Official

Name

Lisha Falk

Title or Position

VP OF CONTRACTING

Telephone Number

(337) 609-1221

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/27/2022

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