BEIDEMARIAM MILTON NPI 1336501493

NPI Information

  • NPI: 1336501493
  • Provider Name: BEIDEMARIAM MILTON
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 1022 MARYS DR
    TALLAHASSEE, FL
    ZIP 32308
  • Phone: (850) 385-0370

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NPI Details

BEIDEMARIAM MILTON is a point of service in Tallahassee, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. BEIDEMARIAM MILTON NPI is 1336501493. The provider is registered as an organization entity type.

The provider's business location address is:

1022 MARYS DR
TALLAHASSEE, FL
ZIP 32308-266
Phone: (850) 385-0370

The provider's authorized official is Beidemariam Milton .
The authorized official title is Owner and has the following contact phone number (850) 385-0370.

The enumeration date for this NPI number is 3/28/2016 and was last updated on 3/28/2016.

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
1305S00000XPoint of Service9328911FLORIDAYes

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: 11/21/2025

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