Organization
NEUROSCIENCE CENTER
Active
Parent organization
TALLAHASSEE MEMORIAL HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALLAHASSEE MEMORIAL HEALTHCARE
Authorized official
JUDY SHIPMAN LCSW (COORDINATOR)
(850) 431-5001
Entity
Organization
Contact information
Practice address
1401 CENTERVILLE RD, SUITE 504, TALLAHASSEE, FL 32308-4647
(850) 431-5001
(850) 431-6101
Mailing address
1401 CENTERVILLE RD, SUITE 504, TALLAHASSEE, FL 32308-4647
(850) 431-5001
(850) 431-6101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24766O
MEDICARE GROUP NUMBER
—
Enumeration date
07/08/2008
Last updated
07/08/2008
About Stedi
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