Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Other names
Madison County Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARKS (PRESIDENT)
(850) 431-6234
Entity
Organization
Contact information
Practice address
224 NW CRANE AVE, MADISON, FL 32340-1400
(850) 973-2271
(850) 973-2818
Mailing address
1300 MEDICAL DRIVE, BILLING DEPARTMENT, TALLAHASSEE, FL 32308-4622
(850) 216-0100
(850) 216-0180
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375270421
—
FL
Enumeration date
07/19/2017
Last updated
01/09/2025
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