Tallahassee Facial Pain Center Pa | |
2880 Capital Medical Blvd Suite 1 Tallahassee FL 32308-4671 | |
(850) 309-0095 | |
Not Available |
Full Name | Tallahassee Facial Pain Center Pa |
---|---|
Speciality | Dentist |
Location | 2880 Capital Medical Blvd, Tallahassee, Florida |
Authorized Official Name and Position | Bruce Arthur Woodruff (PRESIDENT) |
Authorized Official Contact | 8503090095 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tallahassee Facial Pain Center Pa 2880 Capital Medical Blvd Suite 1 Tallahassee FL 32308-4671 Ph: () - | Tallahassee Facial Pain Center Pa 2880 Capital Medical Blvd Suite 1 Tallahassee FL 32308-4671 Ph: (850) 309-0095 |
NPI Number | 1205055787 |
---|---|
Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205055787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN15520 (Florida) | Primary |
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