Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L PARKS (PRESIDENT)
(850) 431-6234
Entity
Organization
Contact information
Practice address
1300 MICCOSUKEE RD, HOSPITALIST GROUP, TALLAHASSEE, FL 32308-5054
(850) 431-4556
(850) 431-6315
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
208M00000X
Hospitalist Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24766S
BCBS GROUP #
FL
05
—
375270420
—
FL
Enumeration date
05/09/2006
Last updated
01/09/2025
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