Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Other names
Tallahassee Memorial Diabetes Prevention Program
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PARKS (PRESIDENT)
(850) 431-6234
Entity
Organization
Contact information
Practice address
2633 CENTENNIAL BLVD STE 100, TALLAHASSEE, FL 32308-0606
(850) 431-5404
Mailing address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
(850) 431-7021
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/13/2019
Last updated
01/09/2025
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