| Tallahassee Memorial Healthcare Inc | |
|
1401 Centerville Road Suite 504 Tallahassee FL 32308 | |
| (850) 431-5037 | |
| (850) 431-6101 |
| Full Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1401 Centerville Road, Tallahassee, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Memorial Healthcare Inc 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tallahassee Memorial Healthcare Inc 1401 Centerville Road Suite 504 Tallahassee FL 32308 Ph: (850) 431-5037 |
| NPI Number | 1780025635 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 04/30/2021 |
| Certification Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780025635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 4080 (Florida) | Primary |
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