Tallahassee Memorial Diabetes Center

LBN: Tallahassee Memorial Healthcare Inc
Tallahassee Memorial Diabetes Center is an health care organization with primary practice located at 2633 Centennial Blvd Ste 100 , Tallahassee FL 32308-0606. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Tallahassee Memorial Healthcare Inc can be contacted via phone (850) 431-5404, or through Moss, Robin L via phone (850) 431-7021.

Contact Information

Primary practice address
2633 Centennial Blvd Ste 100 Tallahassee FL 32308-0606
Phone: (850) 431-5404
Fax: (850) 656-3376
Website:
Map and Directions
Authorized official contact:
Name: Moss, Robin L
Phone: (850) 431-7021

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Florida

Profile Details

NPI number 1114976974
LBN Legal business name Tallahassee Memorial Healthcare Inc
DBA Doing business as Tallahassee Memorial Diabetes Center
Authorized official Moss, Robin L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 9th, 2006
Last updated Jan 28th, 2019 - about 5 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 1114976974 NPPES
Florida MEDICAID 010113300
Florida Other 406

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