| Tallahassee Family Medicine | |
|
1525 Killearn Center Blvd Tallahassee FL 32309-3434 | |
| (850) 893-6706 | |
| (850) 893-2846 |
| Full Name | Tallahassee Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1525 Killearn Center Blvd, Tallahassee, Florida |
| Authorized Official Name and Position | Leslie S Emhof (PRESIDENT) |
| Authorized Official Contact | 8508936706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Family Medicine 1525 Killearn Center Blvd Tallahassee FL 32309-3434 Ph: (850) 893-6706 | Tallahassee Family Medicine 1525 Killearn Center Blvd Tallahassee FL 32309-3434 Ph: (850) 893-6706 |
| NPI Number | 1780793687 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 07/18/2012 |
| Medicare PECOS PAC ID | 0749473650 |
|---|---|
| Medicare Enrollment ID | O20101025000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780793687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME32694 (Florida) | Primary |
| Provider Name | Leslie Stewart Emhof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013026954 PECOS PAC ID: 4082807896 Enrollment ID: I20101025000369 |
| Provider Name | Randell Joseph Hartlage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952338345 PECOS PAC ID: 1254524069 Enrollment ID: I20101025000589 |
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