| Life Solutions Outpatient Corp | |
|
3111 Mahan Dr Suite 20 #113 Tallahassee FL 32308-5548 | |
| (850) 583-5388 | |
| Not Available |
| Full Name | Life Solutions Outpatient Corp |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3111 Mahan Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Stan Kotei (ADMINISTRATOR) |
| Authorized Official Contact | 8505835388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Solutions Outpatient Corp 1341 East Tennessee Street Tallahassee FL 32308 Ph: (850) 583-5388 | Life Solutions Outpatient Corp 3111 Mahan Dr Suite 20 #113 Tallahassee FL 32308-5548 Ph: (850) 583-5388 |
| NPI Number | 1265891543 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 02/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265891543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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