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Organization
TALLAHASSEE NEUROLOGICAL CLINIC PA
Active
Organization
TALLAHASSEE NEUROLOGICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE WILSON PA C (PA)
(850) 878-8121
Entity
Organization
Contact information
Practice address
1401 CENTERVILLE RD, SUITE 300, TALLAHASSEE, FL 32308-4647
(850) 878-8121
(850) 942-6515
Mailing address
1401 CENTERVILLE RD, SUITE 300, TALLAHASSEE, FL 32308-4647
(850) 878-8121
(850) 942-6515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104317
FL
Other
Enumeration date
05/07/2008
Last updated
01/13/2009
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