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Organization

TLH23AH02 LLC

Active
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Organization

TLH23AH02 LLC

Active
Other names
Medicus Spine & Joint
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEX HUGGINS DC (CEO)
(352) 338-0095
Entity
Organization

Contact information

Practice address
2910 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4408
(850) 999-1192
Mailing address
17 NW 33RD CT, GAINESVILLE, FL 32607-2552
(352) 494-9498

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
207X00000X
Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
11/08/2022
Last updated
11/08/2022
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