CROSS ROADS MEDICAL CLINIC NPI 1659439339

NPI Information

NPI: 1659439339
Provider Name: CROSS ROADS MEDICAL CLINIC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
9013 MAHAN DR STE 201
TALLAHASSEE, FL
ZIP 32309
Phone: (850) 325-6334
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CROSS ROADS MEDICAL CLINIC is a family nurse practitioner in Tallahassee, FL. CROSS ROADS MEDICAL CLINIC NPI is 1659439339. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9013 MAHAN DR STE 201
TALLAHASSEE, FL
ZIP 32309-474
Phone: (850) 325-6334
Fax: (850) 942-6322

The provider's authorized official is David Browne .
The authorized official title is Managing Partner and has the following contact phone number (850) 325-6334.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.

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	3260402	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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