Organization Active NPI

Premier Health Clinic & Rehabilitation Center of Tallahassee

  • Rehabilitation Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1124408992
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
CH7212 Issued in FL
Legal business name
PREMIER HEALTH CLINIC & REHABILITATION CENTER OF TALLAHASSEE
Practice address
2820 Remington Green Cir
Tallahassee, FL 32308-1547
Phone
(850) 942-6600
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mehran P Ghazvini, D.C.
Title
Clinic Director
Phone
(850) 942-6600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X CH7212 FL Primary
Rehabilitation Clinic/Center 261QR0400X ME74713 FL

Addresses

Primary practice location

2820 Remington Green Cir
Tallahassee, FL 32308-1547

Mailing address

2820 Remington Green Cir
Tallahassee, FL 32308-1547
Phone (850) 942-6600

Other names 1

  • Ghazvini Center for Spinal Trauma Doing business as

National Provider Directory

National Provider Directory

Locations

2820 Remington Green Cir
Tallahassee, FL 32308
Phone (850) 545-6314

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1124408992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 REMINGTON GREEN CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081547",
            "telephone_number": "850-942-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 REMINGTON GREEN CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081547",
            "telephone_number": "850-942-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH CLINIC & REHABILITATION CENTER OF TALLAHASSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "GHAZVINI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "850-942-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "CH7212",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "ME74713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ghazvini Center for Spinal Trauma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.