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GENERATIONSPAN HEALTHCARE LLC
NPI 1275963662
Nurse Practitioner - Gerontology in Tallahassee, FL

Active since November 21, 2013
400 CAPITAL CIR SE STE 18128, TALLAHASSEE, FL 32301(850) 264-9070 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Generationspan Healthcare Llc NPPES

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

GENERATIONSPAN HEALTHCARE LLC (NPI 1275963662) is a healthcare organization registered as a gerontology in Tallahassee, Florida and active in the NPI registry since November 2013. The organization lists Florence Pedatin Bamgbose, Ceo, as its authorized official.

NPPES Registry Identity

NPI1275963662
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameGENERATIONSPAN HEALTHCARE LLC
Location Address400 CAPITAL CIR SE STE 18128Tallahassee, FL 32301-3802
Mailing Address6271 Williams RdTallahassee, FL 32311-8526 · (850) 264-9070
Phone(850) 264-9070
Organization SubpartNo
Authorized OfficialFlorence Pedatin BamgboseCeo · (850) 264-9070
Enumeration DateNovember 21, 2013
✔ NPI 1275963662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 3314182
400 CAPITAL CIR SE STE 18128, Tallahassee, FL 32301
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Other Identifiers 1

Medicaid305043200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Generationspan Healthcare LLC's NPI number?

The NPI number for Generationspan Healthcare LLC is 1275963662. It was assigned to this organization in the NPPES registry on November 21, 2013.

Where is Generationspan Healthcare LLC located?

Generationspan Healthcare LLC is located at 400 Capital Cir SE Ste 18128, Tallahassee, FL 32301. The listed phone number is (850) 264-9070.

What is Generationspan Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Generationspan Healthcare LLC was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.