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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