MAGNOLIA PEDIATRICS GROUP LLC NPI 1134679442

NPI Information

NPI: 1134679442
Provider Name: MAGNOLIA PEDIATRICS GROUP, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
111 S MAGNOLIA DR STE 10
TALLAHASSEE, FL
ZIP 32301
Phone: (850) 878-5322
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MAGNOLIA PEDIATRICS GROUP, LLC is a family nurse practitioner in Tallahassee, FL. MAGNOLIA PEDIATRICS GROUP, LLC NPI is 1134679442. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 S MAGNOLIA DR STE 10
TALLAHASSEE, FL
ZIP 32301-956
Phone: (850) 878-5322
Fax: (850) 878-3120

The provider's authorized official is Todd Patterson .
The authorized official title is Physician/owner and has the following contact phone number (850) 878-5322.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 10/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN9308662	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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