Organization
PLAYBIG THERAPY & RECREATION ZONE, LLC
Active
Other names
Playbig
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY HACKLER HUTTO PT (OWNER)
(850) 942-2000
Entity
Organization
Contact information
Practice address
4500 W SHANNON LAKES DR STE 3, TALLAHASSEE, FL 32309-2240
(850) 942-2000
(850) 942-2003
Mailing address
4500 W SHANNON LAKES DR STE 3, TALLAHASSEE, FL 32309-2240
(850) 942-2000
(850) 942-2003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010690100
—
FL
05
—
013441900
—
FL
05
—
013602400
—
FL
Enumeration date
02/23/2014
Last updated
05/16/2019
Update your record
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