Organization
TALLAHASSEE GYN-ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICKEY S PICKLER (VICE PRESIDENT)
(850) 523-2117
Entity
Organization
Contact information
Practice address
2770 CAPITAL MEDICAL BLVD, SUITE 210, TALLAHASSEE, FL 32308-8417
(850) 877-7392
(850) 877-1535
Mailing address
PO BOX 100196, ATLANTA, GA 30384-0196
(808) 780-5134
(850) 784-7706
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME96687
FL
Other
Enumeration date
09/21/2006
Last updated
01/25/2008
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