# CHILDREN'S MEDICAL SERVICES TALLAHASSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FLORIDA DEPARTMENT OF HEALTH - CHILDREN'S MEDICAL SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700845492
- **Authorized official:** MRS. KATHLEEN PITTMAN WILSON D.S.N., A.R.N.P (NURSING DIRECTOR)
- **Authorized official phone:** (850) 487-2604

## Contact information

- **Practice address:** 2390 PHILLIPS RD, TALLAHASSEE, FL 32308-5326
- **Practice address phone:** (850) 487-2604
- **Practice address fax:** (850) 922-2123
- **Mailing address:** 2390 PHILLIPS RD, TALLAHASSEE, FL 32308-5326
- **Mailing address phone:** (850) 487-2604
- **Mailing address fax:** (850) 922-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 08/22/2020
