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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

NPI # 1093039562
LBN Legal business name ADOLESCENT AND PEDIATRIC MEDICAL CENTER
Authorized official LIONEL HENRY - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2010
Last updated 03/26/2010 - About 16 years ago
Identifiers
FL License # ME39184
FL Medicaid 066082500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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