Organization
CAPITAL REGIONAL HEART ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (AUTHORIZED OFFICIAL)
(850) 523-2117
Entity
Organization
Contact information
Practice address
2631 CENTENNIAL BLVD, SUITE 200, TALLAHASSEE, FL 32308-0588
(850) 656-7265
Mailing address
2631 CENTENNIAL BLVD, SUITE 200, TALLAHASSEE, FL 32308-0588
(850) 656-7265
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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