Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Organization
TALLAHASSEE MEMORIAL HEALTHCARE INC
Active
Other names
Physician Partners Oral Maxillofacial Trauma Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L MOSS (EXECUTIVE DIRECTOR)
(850) 431-6256
Entity
Organization
Contact information
Practice address
1401 CENTERVILLE RD STE G02, TALLAHASSEE, FL 32308-4638
(850) 431-2100
Mailing address
1607 SAINT JAMES CT STE 1, TALLAHASSEE, FL 32308-5352
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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