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Organization

TALLAHASSEE MEMORIAL HEALTHCARE INC

Active
Parent organization
TALLAHASSEE MEMORIAL HEALTHCARE INC.
Other names
TMHPP Center for Maternal Fetal Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
TALLAHASSEE MEMORIAL HEALTHCARE INC.
Authorized official
MR. ROB L MOSS (EXECUTIVE DIRECTOR)
(850) 431-6256
Entity
Organization

Contact information

Practice address
1401 CENTERVILLE RD, SUITE 400, TALLAHASSEE, FL 32308-4647
(850) 431-3360
(850) 431-3370
Mailing address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
(850) 431-7021
(850) 431-6975

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24766F
BCBS GROUP #
FL
05
375270411
FL
Enumeration date
05/09/2006
Last updated
01/28/2019
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