Organization
FLORIDA MEDIAL PRACTICE PLAN
Active
Other names
FSU Neuromodulation
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HUBBARD (BILLING MANAGER)
(850) 644-1543
Entity
Organization
Contact information
Practice address
2000 LEVY AVE STE 337, TALLAHASSEE, FL 32310-5792
(850) 644-9372
Mailing address
1115 W CALL ST STE 1120-F, TALLAHASSEE, FL 32304-3556
(850) 644-9372
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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