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Contact Information

CAPITAL REGIONAL HEALTHCARE
2626 CARE DRIVE
SUITE 200
TALLAHASSEE, FL32308
 Phone: 850-878-8235
 Fax: 850-219-2395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Podiatrist

213E00000X 48 Podiatry
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CAPITAL REGIONAL HEALTHCARE · (Female)

NPI Number 1518968551
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2005
Last updated 05/02/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ARNP1125292
  • FL License # ARNP1737562
  • FL License # ARNP1851212
  • FL License # ARNP1947622
  • FL License # ARNP579352
  • FL License # ME21311
  • FL License # ME26991
  • FL License # ME42103
  • FL License # ME56839
  • FL License # ME59307
  • FL License # ME69965
  • FL License # ME83075
  • FL License # ME88971
  • FL License # OS6976
  • FL License # PO2824
  • FL Medicaid 058464900
  • FL Other CK0297 RAILROAD MEDICARE
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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