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Organization
TALLAHASSEE CARDIOLOGY ASSOCIATES, P.A.
Active
Organization
TALLAHASSEE CARDIOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA K CRUTCHFIELD (OFFICE MANAGER)
(850) 656-7265
Entity
Organization
Contact information
Practice address
2631 CENTENNIAL BLVD, SUITE 200, TALLAHASSEE, FL 32308-0588
(850) 656-7265
(850) 702-0245
Mailing address
2631 CENTENNIAL BLVD, SUITE 200, TALLAHASSEE, FL 32308-0588
(850) 656-7265
(850) 702-0245
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME43879, ME72196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000827100
DIXON MD MEDCAID
FL
05
—
00827100
—
FL
01
—
1205839222
BACHTEL NPI
FL
01
—
1669534897
DIXON MD NPI 1669534897
FL
01
—
1902809932
BAKER MD NPI
FL
01
—
252361200
BACHTEL MD MEDICAID
FL
05
—
276041000
—
FL
01
—
72230
BCBS GROUP
FL
01
—
CO2333
BAKER UPIN
FL
01
—
DE9596
RR MEDICARE
FL
01
—
F89443
BACHTEL UPIN
FL
01
—
FLO69118600
BAKER MEDICAID
FL
Enumeration date
05/05/2006
Last updated
01/15/2010
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