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Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Parent organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALLAHASSEE MEMORIAL HEALTHCARE INC
Authorized official
MR. ROBIN L MOSS (EXECUTIVE DIRECTOR)
(850) 431-6256
Entity
Organization
Contact information
Practice address
1301 HODGES DR, TALLAHASSEE, FL 32308-4614
(850) 431-3456
(850) 431-6403
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
207Q00000X
Family Medicine Physician
Primary
—
FL
207V00000X
Obstetrics & Gynecology Physician
—
FL
208000000X
Pediatrics Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060409700
—
FL
01
—
99325
BCBS GROUP NUMBER
FL
Enumeration date
12/21/2006
Last updated
09/05/2024
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