Organization
CAPITAL REGIONAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY COTTRELL (AREA PRACTICE MANAGER)
(850) 219-2371
Entity
Organization
Contact information
Practice address
2770 CAPITAL MEDICAL BLVD STE 200, TALLAHASSEE, FL 32308-8419
(850) 219-2371
(844) 275-4685
Mailing address
2770 CAPITAL MEDICAL BLVD STE 200, TALLAHASSEE, FL 32308-8419
(850) 219-2371
(844) 275-4685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002275110
—
FL
01
—
1417127499
NPI
FL
Enumeration date
08/18/2016
Last updated
08/18/2016
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