PATIENTS FIRST MAHAN MEDICAL CENTER PA NPI 1659571479

NPI Information

PATIENTS FIRST MAHAN MEDICAL CENTER, PA is a family medicine in Tallahassee, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PATIENTS FIRST MAHAN MEDICAL CENTER, PA NPI is 1659571479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1705 MAHAN DR
TALLAHASSEE, FL
ZIP 32308-201
Phone: (850) 877-7164
Fax: (850) 656-1391

The provider's authorized official is Fredrick B. Lutz Iii .
The authorized official title is President and has the following contact phone number (850) 877-7164.

The CLIA number assigned to this NPI record is 10D2235707 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 5/7/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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