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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) 431-7021
Entity
Organization
Contact information
Practice address
178 LASALLE LEFALL DR, QUINCY, FL 32351-5278
(850) 875-3600
(850) 627-7277
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
—
—
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24766C
BCBS GROUP NUMBER
FL
05
—
375270401
—
FL
05
—
6600379-02
—
FL
Enumeration date
04/25/2006
Last updated
01/28/2019
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