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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
MR. ROBIN L. MOSS (EXECUTIVE DIRECTOR)
(850) 431-6256
Entity
Organization
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0190
(850) 216-0112
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
—
FL
207RC0000X
Cardiovascular Disease Physician
—
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
FL
207RI0011X
Interventional Cardiology Physician
—
FL
363A00000X
Physician Assistant
—
FL
363L00000X
Nurse Practitioner
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24766T
BLUE CROSS BLUE SHIELD
FL
05
—
375270421
—
FL
Enumeration date
07/25/2011
Last updated
01/19/2022
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