NPI 1831839349

Phylicia Electa Bush

Practitioner Independent Medical Examiner Physician Tallahassee, FL

Practice location

Address: 5252 Graves Road, Tallahassee, FL 32303
Phone: (866) 459-8264
Fax: (866) 459-8264
Mailing address: 5655 Lunker Ln, Tallahassee, FL 32303-6942

Registered specialties

Independent Medical Examiner Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202C00000X

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Registry record

NPI: 1831839349
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2022
Record last updated: 21 Jul 2022

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.