Organization
CAPITAL REGIONAL HEALTHCARE
Active
Other names
Medical Group of North Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA OBRIEN (PRACTICE MANAGER)
(850) 878-8235
Entity
Organization
Contact information
Practice address
2626 CARE DRIVE, SUITE 200, TALLAHASSEE, FL 32308
(850) 878-8235
(850) 219-2395
Mailing address
2626 CARE DRIVE, SUITE 200, TALLAHASSEE, FL 32308
(850) 878-8235
(850) 219-2395
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP1125292
FL
163W00000X
Registered Nurse
ARNP1737562
FL
163W00000X
Registered Nurse
ARNP1851212
FL
163W00000X
Registered Nurse
ARNP1947622
FL
163W00000X
Registered Nurse
ARNP579352
FL
207Q00000X
Family Medicine Physician
ME21311
FL
207QA0505X
Adult Medicine Physician
ME88971
FL
207R00000X
Internal Medicine Physician
ME26991
FL
207R00000X
Internal Medicine Physician
ME42103
FL
207R00000X
Internal Medicine Physician
Primary
ME56839
FL
207R00000X
Internal Medicine Physician
ME59307
FL
207RC0000X
Cardiovascular Disease Physician
ME83075
FL
207RG0100X
Gastroenterology Physician
ME69965
FL
208D00000X
General Practice Physician
OS6976
FL
213E00000X
Podiatrist
PO2824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058464900
—
FL
01
—
CK0297
RAILROAD MEDICARE
FL
Enumeration date
08/01/2005
Last updated
05/02/2008
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