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Contact Information

ADOLESCENT AND PEDIATRIC MEDICAL CENTER
1638 N PLAZA DR
TALLAHASSEE, FL32308-5323
 Phone: 850-878-5147
 Fax: 850-942-9844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ADOLESCENT AND PEDIATRIC MEDICAL CENTER · (Female)

NPI Number 1093039562
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2010
Last updated 03/26/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME39184
  • FL Medicaid 066082500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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