Organization
BANNERMAN FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMEL FAILMA M.D. (CLINIC DIRECTOR)
(850) 893-8965
Entity
Organization
Contact information
Practice address
6721 THOMASVILLE RD, TALLAHASSEE, FL 32312-3837
(850) 893-8965
Mailing address
PO BOX 100124, ATLANTA, GA 30384-0124
(850) 893-8965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME95073
FL
Other
Enumeration date
10/18/2006
Last updated
09/28/2007
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