Organization
TALLAHASSEE NEUROLOGICAL CLINIC
Active
Organization
TALLAHASSEE NEUROLOGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HULSEY MANAGER (OFFICE MANAGER)
(850) 558-1262
Entity
Organization
Contact information
Practice address
1401 CENTERVILLE RD, SUITE 300, TALLAHASSEE, FL 32308-4675
(850) 877-5115
Mailing address
1401 CENTERVILLE RD, SUITE 300, TALLAHASSEE, FL 32308-4675
(850) 877-5115
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053371800
—
FL
05
—
053371801
—
FL
05
—
053371802
—
FL
01
—
38233
GROUP BCBS NUMBER
FL
Enumeration date
04/24/2006
Last updated
10/06/2014
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