Organization
MULTIDISCIPLINARY CENTER
Active
Parent organization
FLORIDA STATE UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA STATE UNIVERSITY
Authorized official
JOANN MILFORD M.S. (ASSITANT DIRECTOR)
(850) 644-9920
Entity
Organization
Contact information
Practice address
715 W GAINES STREET, TALLAHASSEE, FL 32308
(850) 644-9920
Mailing address
715 W GAINES STREET, TALLAHASSEE, FL 32308
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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