Organization
STOCKWELL REISMAN PAULK & TAYLOR PA
Active
Other names
Digestive Disease Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE L MADANI (BUSINESS OFFICE MANAGER)
(850) 205-8404
Entity
Organization
Contact information
Practice address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
(850) 216-1321
Mailing address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
(850) 216-1321
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374312800
—
FL
Enumeration date
05/26/2006
Last updated
01/12/2010
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