Mary M Pellegrino

LBN: Mary M Pellegrino
Mary M Pellegrino is an health care organization with primary practice located at 3215 Capital Medical Blvd , Tallahassee FL 32308-4413. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Mary M Pellegrino can be contacted via phone (850) 878-0609, or through Pellegrino, Mary via phone (850) 878-0609.

Contact Information

Primary practice address
3215 Capital Medical Blvd Tallahassee FL 32308-4413
Phone: (850) 878-0609
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pellegrino, Mary
Phone: (850) 878-0609

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA2251 Florida

Profile Details

NPI number 1912965856
LBN Legal business name Mary M Pellegrino
DBA Doing business as
Authorized official Pellegrino, Mary
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Apr 12th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912965856 NPPES
Florida MEDICAID 880934800

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