# CENTER FOR CHRONIC DISEASE MANAGEMENT AND EDUCATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295236578
- **Authorized official:** DR. OTIS WILBUR KIRKSEY PHARMD, BC-ADM, CDE (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (850) 284-6873

## Contact information

- **Practice address:** 1381 CROSS CREEK CIR, TALLAHASSEE, FL 32301-3729
- **Practice address phone:** (850) 877-6393
- **Mailing address:** PO BOX 7011, TALLAHASSEE, FL 32314-7011
- **Mailing address phone:** (850) 284-6873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PS20980 | FL | Yes |

## Other

- **Enumeration date:** 02/22/2018
- **Last updated:** 02/22/2018