TALLAHASSEE MEMORIAL DIABETES CENTER
NPI 1114976974
Clinic/Center in Tallahassee, FL

Q: What is Tallahassee Memorial Healthcare Inc's NPI number?

The NPI number for Tallahassee Memorial Healthcare Inc is 1114976974. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Tallahassee Memorial Diabetes Center.

Q: What is Tallahassee Memorial Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 09, 2006

2633 CENTENNIAL BLVD STE 100, TALLAHASSEE, FL 32308(850) 431-5404(850) 656-3376 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2025, Jan 28, 2019 (2 updates tracked since 2019).

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About Tallahassee Memorial Diabetes Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TALLAHASSEE MEMORIAL DIABETES CENTER (NPI 1114976974) is a healthcare organization registered as a clinic/center in Tallahassee, Florida and active in the NPI registry since May 2006. The organization lists Jennifer Parks, President, as its authorized official.

NPPES Registry Identity

NPI1114976974

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameTALLAHASSEE MEMORIAL HEALTHCARE INC

Location Address2633 CENTENNIAL BLVD STE 100Tallahassee, FL 32308-0606

Mailing Address1607 Saint James Ct Ste 1Tallahassee, FL 32308-5352 · (850) 431-7021 · Fax (850) 431-6975

Phone(850) 431-5404

Fax(850) 656-3376

Organization SubpartYes

Authorized OfficialJennifer ParksPresident · (850) 431-6234

Enumeration DateMay 9, 2006

Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1114976974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2633 CENTENNIAL BLVD STE 100, Tallahassee, FL 32308

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Other Names 1

Doing Business AsTallahassee Memorial Diabetes Center

Other Identifiers 2

Other406FL · Bcbs Group #

Medicaid010113300FL

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YASMEEN AFHTAB DANAWALA

Physician Assistant