| Tallahassee Memorial Healthcare Inc | |
|
137 12th St Apalachicola FL 32320-2110 | |
| (850) 697-1118 | |
| (850) 697-1119 |
| Full Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 137 12th St, Apalachicola, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 137 12th St Apalachicola FL 32320-2110 Ph: (850) 697-1118 |
| NPI Number | 1376140913 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20201215001782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376140913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477991230 PECOS PAC ID: 0345462917 Enrollment ID: I20201215002152 |
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