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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

NPI Number 1518968551
LBN Legal business name CAPITAL REGIONAL HEALTHCARE
Authorized official MARIA OBRIEN - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2005
Last updated 05/02/2008 - About 18 years ago
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
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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