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Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER PARKS (PRESIDENT)
(850) 431-6234
Entity
Organization
Contact information
Practice address
3900 ESPLANADE WAY, TALLAHASSEE, FL 32311-0802
(850) 431-3867
(850) 431-3879
Mailing address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
(850) 431-7021
(850) 431-6975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24766G
BLUE CROSS BLUE SHIELD OF FL
FL
05
—
375270416
—
FL
Enumeration date
12/31/2009
Last updated
01/09/2025
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