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Organization
TALLAHASSEE ORTHOPEDIC CLINIC III PL
Active
Organization
TALLAHASSEE ORTHOPEDIC CLINIC III PL
Active
Parent organization
TALLAHASSEE ORTHOPEDIC CLINIC
Other names
Tallahassee Orthopedic Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALLAHASSEE ORTHOPEDIC CLINIC
Authorized official
LORI CARTER (BILLING OFFICE DIRECTOR)
(850) 219-1925
Entity
Organization
Contact information
Practice address
3051 6TH ST, MARIANNA, FL 32446-1933
(850) 526-3236
(850) 526-4060
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(850) 877-5636
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
08/09/2007
Last updated
04/12/2023
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