NPI 1083762504

Big Bend Communtiy Based Care

Organisation Public Health or Welfare Agency Tallahassee, FL

Practice location

Address: 525 N Martin Luther King Jr Blvd, Tallahassee, FL 32301-1054
Phone: (850) 410-1020
Fax: (850) 410-1076

Authorised official

Name: Mike Watkins
Title: Chief Operating Officer
Phone: (850) 410-1020

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 02B010401P (FL)

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Registry record

NPI: 1083762504
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.