Organization
TALLAHASSEE MEMORIAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH L. BERRY PA (PHYSICIAN ASSISTANT)
(850) 431-5678
Entity
Organization
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-5665
Mailing address
10085 BULL HEADLEY RD, TALLAHASSEE, FL 32312-9075
(850) 893-9722
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA1620
FL
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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