Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Parent organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Other names
Tallahassee Memorial Diabetes Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALLAHASSEE MEMORIAL HEALTHCARE INC
Authorized official
MRS. JENNIFER PARKS (PRESIDENT)
(850) 431-6234
Entity
Organization
Contact information
Practice address
2633 CENTENNIAL BLVD STE 100, TALLAHASSEE, FL 32308-0606
(850) 431-5404
(850) 656-3376
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
261Q00000X
Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010113300
—
FL
01
—
406
BCBS GROUP #
FL
Enumeration date
05/09/2006
Last updated
01/09/2025
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