Organization · Type 2 NPI

Centennial Medical Practice PC

Family Medicine Physician · Tallahassee, FL

NPI number 1174333975 Active

Practice location

1201 Hays St
Tallahassee, FL 32301-2699

Fax (833) 450-0933

Mailing address

1743 Sidewinder Dr Unit 114
Park City, UT 84060-7322

Other practice locations

  • 100 Shockoe Slip Fl 2, Richmond, VA 23219-4100 · (307) 840-9834
  • 33 E Main St Ste 610, Madison, WI 53703-4655 · (307) 840-9834

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

19 other providers at this address

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About NPI 1174333975

Centennial Medical Practice PC's National Provider Identifier is 1174333975, issued on Jan 13, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tallahassee, FL. The record was last updated on Sep 22, 2026.