Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Other names
TMH Physician Partners Urology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARKS (PRESIDENT)
(850) 431-6234
Entity
Organization
Contact information
Practice address
2619 CENTENNIAL BLVD STE 102, TALLAHASSEE, FL 32308-0590
(850) 431-2875
Mailing address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
(850) 431-7021
(850) 431-6975
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4080
FL
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
FL
Enumeration date
08/28/2017
Last updated
01/09/2025
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