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Organization

FLORIDA MEDICAL PRACTICE PLAN INC

Active
Parent organization
FLORIDA MEDICAL PRACTICE PLAN INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLORIDA MEDICAL PRACTICE PLAN INC
Authorized official
PATRICIA BALLANTINE (HEAD OF CLINICAL OPERATIONS)
(850) 645-9451
Entity
Organization

Contact information

Practice address
2390 PHILLIPS RD, TALLAHASSEE, FL 32308-5326
(850) 645-9451
Mailing address
2390 PHILLIPS RD, TALLAHASSEE, FL 32308-5326
(850) 645-9451

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
170300000X
Genetic Counselor (M.S.)
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208000000X
Pediatrics Physician
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
10/31/2025
Last updated
03/10/2026
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