# TALLAHASSEE ORTHOPEDIC CLINIC III PL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tallahassee Orthopedic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194778050
- **Authorized official:** MELISSA BUTLER (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (813) 978-9700

## Contact information

- **Practice address:** 3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
- **Practice address phone:** (850) 877-8174
- **Practice address fax:** (844) 261-6839
- **Mailing address:** 3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
- **Mailing address phone:** (850) 877-8174
- **Mailing address fax:** (850) 877-5636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 06/17/2026