Organization
TE ENOCH MD LLC
Active
Other names
Tommy E. Enoch, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY ERRICE ENOCH M.D. (MANAGER)
(850) 656-8944
Entity
Organization
Contact information
Practice address
1616 RIGGINS RD, TALLAHASSEE, FL 32308-5316
(850) 656-8944
(850) 878-1824
Mailing address
1616 RIGGINS RD, TALLAHASSEE, FL 32308-5316
(850) 656-8944
(850) 878-1824
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
22081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78078
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/05/2006
Last updated
01/02/2008
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