Active NPI
Laura Preston MD PA
- Legal Medicine
- Tallahassee, FL
National Provider Identifier
1174719777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- ME53543
- Legal business name
- LAURA PRESTON MD PA
- Practice address
- 3217 Capital Medical Blvd
Tallahassee, FL 32308-4413 - Phone
- (850) 942-5728
- Fax
- (850) 671-4415
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laura Preston, MD
- Title
- MD
- Phone
- (850) 942-5728
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | ME53543 | FL | Primary |
Addresses
Primary practice location
3217 Capital Medical Blvd
Tallahassee, FL 32308-4413
Mailing address
3217 Capital Medical Blvd
Tallahassee, FL 32308-4413
Phone (850) 942-5728
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048338900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1720064777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283472000000",
"number": "1174719777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 CAPITAL MEDICAL BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084413",
"telephone_number": "850-942-5728",
"fax_number": "850-671-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 CAPITAL MEDICAL BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084413",
"telephone_number": "850-942-5728",
"fax_number": "850-671-4415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA PRESTON MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2010-09-03",
"status": "A",
"authorized_official_last_name": "PRESTON",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "850-942-5728",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME53543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048338900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.