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TALLAHASSEE PRIMARY CARE ASSOCIATES PA NPI 1972661262


NPI Information

NPI: 1972661262
Provider Name: TALLAHASSEE PRIMARY CARE ASSOCIATES, PA

Former Legal Business Name: FAMILY PHYSICIAN ASSOCIATES PA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2121310

Address:
1803 MICCOSUKEE COMMONS DR
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 297-0114
Get Directions

TALLAHASSEE PRIMARY CARE ASSOCIATES, 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. TALLAHASSEE PRIMARY CARE ASSOCIATES, PA NPI is 1972661262. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Family Physician Associates Pa.

The provider's business location address is:

1803 MICCOSUKEE COMMONS DR
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 297-0114
Fax: (850) 297-0314

The provider's authorized official is Thomas G Harrison .
The authorized official title is Ceo and has the following contact phone number (850) 297-0114.

The CLIA number assigned to this NPI record is 10D2121310 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 11/11/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140629KMEDICARE PINFLORIDA
240629IMEDICARE PINFLORIDA
340629JMEDICARE PINFLORIDA
4250951200MEDICAIDFLORIDA
540629BMEDICARE PINFLORIDA
640629HMEDICARE PINFLORIDA
740629MEDICARE PINFLORIDA

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

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