# TALLAHASSEE ORTHOPEDIC CLINIC III PL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TALLAHASSEE ORTHOPEDIC CLINIC III PL
- **Other names:** Tallahassee Orthopedic Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902034317
- **Legal business name:** TALLAHASSEE ORTHOPEDIC CLINIC III PL
- **Authorized official:** LORI J CARTER (BUSINESS OFFICE DIRECTOR)
- **Authorized official phone:** (850) 219-1925

## Contact information

- **Practice address:** 2011 HARRISON AVE, PANAMA CITY, FL 32405-4545
- **Practice address phone:** (850) 691-4188
- **Practice address fax:** (833) 687-1451
- **Mailing address:** 3334 CAPITAL MEDICAL BLVD, SUITE 400, TALLAHASSEE, FL 32308-8405
- **Mailing address phone:** (850) 877-8174
- **Mailing address fax:** (850) 877-5636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2009
- **Last updated:** 04/11/2023