Heritage Family Care,llc
Family Medicine in Tallahassee, FL. Organization (NPI-2).
NPI number1235200031
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1235200031
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage Family Care,llc
- Organization subpart
- No
- Enumeration date
- Nov 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | FL | Yes |
Practice location
1910 Hillbrook TrailSuite 2
Tallahassee, FL 32311
Phone 850-878-2637 · Fax 850-878-2053
Mailing address
1 Maryland FarmsSuite 200
Brentwood, TN 37027-5006
Authorized official
Mickey Pickler
Vice President
8508782637
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