Organization

Tallahassee Memorial Healthcare Inc

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

Legal Business Name

Tallahassee Memorial Healthcare Inc

NPI Number

1386862852

NPI Type

Organization

Enumeration Date

04/23/2007

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1607 SAINT JAMES CT STE 1
1505 SURGEONS DRIVE

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32308-5352
32308

Country

US
US

Telephone Number

(850) 431-7021
(850) 431-4325

Authorized Official

Name

Mr. Robin Moss

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(850) 431-6256

Identifiers

Identifier

24766A

Identifier State

FL

Identifier Issuer

BCBS GROUP #

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

Data last updated by provider on 01/28/2019

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