NPI 1578075503

Tallahassee Memorial Healthcare INC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Tallahassee, FL

Practice location

Address: 2929 Capital Medical Blvd, Tallahassee, FL 32308-4407
Phone: (850) 431-6725
Fax: (850) 431-6859
Mailing address: 1607 Saint James CT STE 1, Tallahassee, FL 32308-5352

Authorised official

Name: Robin L Moss
Title: Executive Director
Phone: (850) 431-6256

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Florida →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Registry record

NPI: 1578075503
Entity type: Organization
NPI issued: 31 Oct 2017
Record last updated: 28 Jan 2019

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.