Organization · Type 2 NPI

Tallahassee Memorial Healthcare Inc

Cardiovascular Disease Physician · Madison, FL

NPI number 1306369657 Active

Practice location

224 NW Crane Ave
Madison, FL 32340-1400

Call (850) 973-2271 Map

Fax (850) 973-2818

Mailing address

1300 Medical Drive, Billing Department
Tallahassee, FL 32308-4622

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

7 other providers at this address

NPI record

NPI: 1306369657
Entity type: Organization (Type 2)
Issued: Jul 19, 2017
Last updated: Jan 9, 2025
Status: Active

Other names

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Madison County Memorial Hospital · doing business as
Madison County Memorial Hospital · doing business as

Authorized official

Jennifer Parks
President
(850) 431-6234

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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.

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About NPI 1306369657

Tallahassee Memorial Healthcare Inc's National Provider Identifier is 1306369657, issued on Jul 19, 2017. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Madison, FL. The record was last updated on Jan 9, 2025.