Tallahassee Memorial Diabetes Center | |
2633 Centennial Blvd Ste 100 Tallahassee FL 32308-0606 | |
(850) 431-5404 | |
(850) 656-3376 |
Full Name | Tallahassee Memorial Diabetes Center |
---|---|
Speciality | Clinic/center |
Location | 2633 Centennial Blvd Ste 100, Tallahassee, Florida |
Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8504317021 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tallahassee Memorial Diabetes Center 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: (850) 431-7021 | Tallahassee Memorial Diabetes Center 2633 Centennial Blvd Ste 100 Tallahassee FL 32308-0606 Ph: (850) 431-5404 |
NPI Number | 1114976974 |
---|---|
Provider Enumeration Date | 05/09/2006 |
Last Update Date | 01/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114976974 | NPI | - | NPPES |
010113300 | Medicaid | FL | |
406 | Other | FL | BCBS GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Florida) | Primary |
News Archive
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