Organization

Southern Internal Medicine Associates, Pllc

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

Legal Business Name

Southern Internal Medicine Associates, Pllc

NPI Number

1639909658

NPI Type

Organization

Enumeration Date

08/05/2024

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1300 MEDICAL DR
1300 MEDICAL DR

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32308-4646
32308-4646

Country

US
US

Telephone Number

(850) 216-0100
(850) 216-0100

Authorized Official

Name

Immanuel Dhanarajan

Title or Position

CFO

Telephone Number

(850) 727-2459

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

Data last updated by provider on 08/05/2024

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