Organization
TALLAHASSEE ORTHOPEDIC CLINIC III PL
Active
Other names
Tallahassee Orthopedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BUTLER (DIRECTOR OF MANAGED CARE)
(813) 978-9700
Entity
Organization
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(844) 261-6839
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
103G00000X
Clinical Neuropsychologist
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251006500
—
FL
05
—
251006501
—
FL
05
—
251006502
—
FL
05
—
251006503
—
FL
05
—
251006509
—
FL
05
—
251006512
—
FL
01
—
CG1216
RAILROAD MEDICARE #
GA
01
—
CG3489
RAILROAD MEDICARE
GA
Enumeration date
05/19/2006
Last updated
05/06/2026
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