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Organization
TREE CANOPY CITY INPATIENT SERVICES, LLC
Active
Organization
TREE CANOPY CITY INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J BYRNE MD (PRESIDENT)
(800) 507-8874
Entity
Organization
Contact information
Practice address
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4402
(850) 325-5000
(727) 536-2896
Mailing address
P.O. BOX 37947, LAS VEGAS, NV 89193
(800) 507-8874
(727) 536-2896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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