Organization · Type 2 NPI

Tallahassee Memorial Healthcare Inc

Clinic/Center · Tallahassee, FL

NPI number 1114976974 Active

Practice location

2633 Centennial Blvd Ste 100
Tallahassee, FL 32308-0606

Call (850) 431-5404 Map

Fax (850) 656-3376

Mailing address

1607 Saint James Ct Ste 1
Tallahassee, FL 32308-5352

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

12 other providers at this address

Other clinic/center providers in Tallahassee

See all in Tallahassee →

NPI record

NPI: 1114976974
Entity type: Organization (Type 2)
Issued: May 9, 2006
Last updated: Jan 9, 2025
Status: Active
Subpart: Yes of Tallahassee Memorial Healthcare Inc

Other names

<unavail>
Tallahassee Memorial Diabetes Center · doing business as
Tallahassee Memorial Diabetes Center · doing business as

Authorized official

Mrs. Jennifer Parks
President
(850) 431-6234

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1114976974

Tallahassee Memorial Healthcare Inc's National Provider Identifier is 1114976974, issued on May 9, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tallahassee, FL. The record was last updated on Jan 9, 2025.