# TALLAHASSEE MEMORIAL HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tallahassee Memorial Diabetes Prevention Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467012393
- **Authorized official:** JENNIFER PARKS (PRESIDENT)
- **Authorized official phone:** (850) 431-6234

## Contact information

- **Practice address:** 2633 CENTENNIAL BLVD STE 100, TALLAHASSEE, FL 32308-0606
- **Practice address phone:** (850) 431-5404
- **Mailing address:** 1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
- **Mailing address phone:** (850) 431-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 01/09/2025