# TALLAHASSEE MEMORIAL HEALTHCARE INC

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

## Provider details

- **NPI number:** 1649229402
- **Authorized official:** MR. ROBIN L MOSS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (850) 431-6256

## Contact information

- **Practice address:** 1549 S JEFFERSON ST, MONTICELLO, FL 32344-1651
- **Practice address phone:** (850) 997-0707
- **Practice address fax:** (850) 997-6833
- **Mailing address:** 1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
- **Mailing address phone:** (850) 431-7021
- **Mailing address fax:** (850) 431-6975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | FL | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 01/28/2019