Adolescent And Pediatric Medical Center
Pediatric Adolescent Medicine
Adolescent And Pediatric Medical Center is a Tallahassee, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1638 N Plaza Dr, Tallahassee, Florida - 32308-5323. They can be contacted on phone at
850-878-5147 and fax number 850-942-9844.
NPI number (Unique professional ID) for Adolescent And Pediatric Medical Center is
1093039562 which was assigned by NPPES on 26 Mar, 2010 and it was last updated on 26 Mar, 2010.
Adolescent And Pediatric Medical Center license number is
ME39184 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Adolescent And Pediatric Medical Center 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.
Complete Profile:
Adolescent And Pediatric Medical Center basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Adolescent And Pediatric Medical Center |
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Business Address:
Adolescent And Pediatric Medical Center address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1638 N Plaza Dr
Tallahassee, FL, 32308-5323
United States |
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| Phone Number : | 850-878-5147 |
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| Fax Number : | 850-942-9844 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093039562 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 26 Mar, 2010 |
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| Last Updated On : | 26 Mar, 2010 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lionel Henry |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER/DOCTOR |
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| Phone Number : | 850-878-5147 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Adolescent And Pediatric Medical Center are as mentioned. Primary taxonomy code for Adolescent And Pediatric Medical Center is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME39184 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Adolescent And Pediatric Medical Center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 066082500 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1638 N Plaza Dr
Tallahassee, FL, 32308-5323
United States |
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Business Location:
Patients can refer following map for directions to
Adolescent And Pediatric Medical Center practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.