TALLAHASSEE ORTHOPEDIC CLNIC III PL (NPI# 1992012181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992012181 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE ORTHOPEDIC CLNIC III PL |
| Other Organization Name | TALLAHASSEE ORTHOPEDIC CLINIC |
| Practice Address |
2475 Garrison Ave Port St Joe FL 32456-5265 |
| Mailing Address |
3334 Capital Medical Blvd Suite 400 Tallahassee FL 32308-8405 |
| Practice Telephone | 8508778174 |
| Practice Fax Number | 8502191952 |
| Mailing Telephone | 8508778174 |
| Mailing Fax Number | 8502191952 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | FLOYD R JAGGEARS (MD/MANAGING PARTNER) |
| Authorized Official Telephone | 8508778174 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TALLAHASSEE ORTHORPEDIC CLINIC III PL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Tallahassee Orthopedic Clinic | Doing Business As Name - Organization |
| Street Address |
2475 GARRISON AVE |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828189 | Florida Department of Health | Public Health or Welfare | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2006-02-06 |
| 1043688831 | Eric Haynam | Dentist | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2015-09-10 |
| 1235419094 | Patricia A Hammonds | Nurse Practitioner | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2011-08-25 |
| 1124256201 | Patricia A Fults | Dental Hygienist | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2009-06-26 |
| 1285883918 | Brittany Jade Beauchamp | Registered Nurse | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2008-09-18 |
| 1932357316 | Jill Marlene Nance | Social Worker | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2008-08-28 |
| 1477676237 | St Joseph Care of Florida, Inc. | Public Health or Welfare | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-04-09 |
| 1174643233 | Rita Faye Thompson | Registered Nurse | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-03-30 |
| 1730219254 | Barbara Ann Mcdermid | Social Worker | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2007-03-06 |
| 1114940939 | Paul J Hunt Jr. | Specialist | 2475 Garrison Ave, Port St Joe, FL 32456-5265 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225047 | Halo Florida Dme LLC | Durable Medical Equipment & Medical Supplies | 710 Pondella Rd Ste 4, North Fort Myers, FL 33903-5730 | 2020-11-05 |
| 1033710249 | Harmony Home Care Solutions LLC | Durable Medical Equipment & Medical Supplies | 6625 Miami Lakes Dr E Ste 319, Miami Lakes, FL 33014-2705 | 2020-11-04 |
| 1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
| 1548861990 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2135 Everglades Ln, The Villages, FL 32163-1037 | 2020-11-03 |
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1659972016 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 5140 County Line Rd, Lakeland, FL 33811-1706 | 2020-11-03 |
| 1891396248 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 205 Rivertown Shops Dr, Saint Johns, FL 32259-7476 | 2020-11-03 |
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1265033591 | Acqualina Health Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 12955 Biscayne Blvd Ste 322, North Miami, FL 33181-2022 | 2020-11-03 |
| 1083215511 | Supplies Plus Fl Inc | Durable Medical Equipment & Medical Supplies | 223 Island Way Apt 5f, Clearwater Beach, FL 33767-2254 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
Please comment or provide details below to improve the information on TALLAHASSEE ORTHOPEDIC CLNIC III PL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.