National Provider Identifier Database

ADOLESCENT AND PEDIATRIC MEDICAL CENTER
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


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
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for ADOLESCENT AND PEDIATRIC MEDICAL CENTER

NPI Number 1093039562
Legal business name
LBN
ADOLESCENT AND PEDIATRIC MEDICAL CENTER
Authorized official LIONEL HENRY - (OWNER/DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 03/26/2010
Last updated 03/26/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME39184
  • FL Medicaid: 066082500

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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