| NPI | 1467012393 |
|---|---|
| Doing Business As | TALLAHASSEE MEMORIAL DIABETES PREVENTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ROBIN L MOSS Executive Director 850-431-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |