Active NPI
Tallahassee Orthopedic Clinic III PL
- Medical Specialty Clinic/Center
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- TALLAHASSEE ORTHOPEDIC CLINIC III PL
- Practice address
- 3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470 - Phone
- (850) 877-8174
- Fax
- (844) 261-6839
- NPI assigned
- May 19, 2006
- 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
- Melissa Butler
- Title
- Director of Managed Care
- Phone
- (813) 978-9700
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Medical Specialty Clinic/Center | 261QM2500X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Mailing address
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
Other practice location 1
991 E Del Webb Blvd
Sun City Center, FL 33573-6669
Phone (813) 978-9700
Other practice location 2
3635 Clyde Morris Blvd Ste 600
Port Orange, FL 32129-2353
Phone (813) 978-9700
Other practice location 3
617 Canal St Ste 110
New Smyrna Beach, FL 32168-6901
Phone (813) 978-9700
Other practice location 4
3890 Tampa Rd Ste 303
Palm Harbor, FL 34684-3677
Phone (727) 787-5577
Other practice location 5
3618 Madaca Ln
Tampa, FL 33618-2057
Phone (813) 978-9700
Other practice location 6
8839 Bryan Dairy Rd Ste 240A
Largo, FL 33777-1203
Phone (727) 461-6026
Other practice location 7
1337 S International Pkwy Ste 1341
Lake Mary, FL 32746-1402
Phone (813) 978-9700
Other practice location 8
1565 Saxon Blvd Ste 301
Deltona, FL 32725-5836
Phone (407) 841-2100
Other practice location 9
7540 W University Ave
Gainesville, FL 32607-7609
Phone (813) 978-9700
Other practice location 10
2044 Trinity Oaks Blvd Ste 110
Trinity, FL 34655-4405
Phone (727) 461-6026
Other practice location 11
2011 Harrison Ave
Panama City, FL 32405-4545
Phone (850) 691-4188
Other practice location 12
113 W Hansell St
Thomasville, GA 31792-6664
Phone (229) 226-3060
Other practice location 13
925 Carlisle Rd
Chipley, FL 32428-4360
Phone (850) 526-3236
Other practice location 14
1002 N Arnold Rd
Panama City Beach, FL 32413-2523
Phone (813) 978-9700
Other practice location 15
3131 N McMullen Booth Rd Ste 100
Clearwater, FL 33761-2008
Phone (727) 787-5577
Other practice location 16
740 W Plymouth Ave
Deland, FL 32720-3282
Phone (813) 978-9700
Other practice location 17
603 7th St S Ste 450
St Petersburg, FL 33701-4741
Phone (727) 527-5272
Other practice location 18
1053 Medical Center Dr Ste 101
Orange City, FL 32763-8259
Phone (813) 978-9700
Other practice location 19
6748 Gall Blvd
Zephyrhills, FL 33542-2545
Phone (813) 896-2338
Other practice location 20
4725 US Highway 98 S Ste 101-102
Lakeland, FL 33812-4334
Phone (863) 328-5410
Other practice location 21
2653 Bruce B Downs Blvd Ste 201
Wesley Chapel, FL 33544-9206
Phone (813) 978-9700
Other practice location 22
17907 Aprile Dr Ste 125
Land O Lakes, FL 34638-4919
Phone (813) 978-9700
Other practice location 23
17907 Aprile Dr Ste 125
Land O Lakes, FL 34638-4919
Phone (813) 978-9700
Other practice location 24
8839 Bryan Dairy Rd Ste 240B
Largo, FL 33777-1203
Phone (813) 978-9700
Other practice location 25
801 N Orange Ave Ste 600B
Orlando, FL 32801-5202
Phone (407) 841-2100
Other practice location 26
1011 Jeffords St Bldg B
Clearwater, FL 33756-4070
Phone (727) 446-4477
Other practice location 27
36413 US Highway 19 N
Palm Harbor, FL 34684-1329
Phone (813) 978-9700
Other practice location 28
11286 Boyette Rd Ste 101
Riverview, FL 33569-8022
Phone (813) 978-9700
Other practice location 29
7525 NW 4th Blvd Ste 90
Gainesville, FL 32607-1846
Phone (352) 744-7868
Other practice location 30
206 W Oak St Ste A
Kissimmee, FL 34741-4448
Phone (407) 841-2100
Other practice location 31
4600 4th St N
St Petersburg, FL 33703-3802
Phone (727) 527-5272
Other practice location 32
560 S Lakewood Dr Ste 101
Brandon, FL 33511-5015
Phone (813) 978-9700
Other practice location 33
5016 W Cypress St Ste 210
Tampa, FL 33607-3809
Phone (813) 978-9700
Other practice location 34
1011 Jeffords St Bldg D
Clearwater, FL 33756-4070
Phone (727) 449-2599
Other practice location 35
430 Morton Plant St Ste 206
Clearwater, FL 33756-3396
Phone (727) 298-5230
Other practice location 36
1155 5th St SE
Cairo, GA 39828-3142
Phone (229) 226-3060
Other practice location 37
430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Phone (727) 461-6026
Other practice location 38
909 N Dale Mabry Hwy
Tampa, FL 33609-1251
Phone (813) 978-9700
Other practice location 39
5243 Hanff Ln
New Port Richey, FL 34652-4226
Phone (727) 781-7757
Other practice location 40
2414 Enterprise Rd
Clearwater, FL 33763-1751
Phone (727) 461-6026
Other practice location 41
603 Wheat Ave Ste 800
Bainbridge, GA 39819-4367
Phone (229) 246-3608
Other practice location 42
2118 SW 20th Pl Ste 102
Ocala, FL 34471-0869
Phone (813) 978-9700
Other practice location 43
3051 6th St
Marianna, FL 32446-1933
Phone (850) 526-3236
Other practice location 44
2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (850) 877-8174
Other practice location 45
1376 Brickyard Rd Ste 4
Chipley, FL 32428-6392
Phone (850) 526-3236
Other practice location 46
803 W Main St
Perry, FL 32347-2612
Phone (850) 584-7078
Other practice location 47
2118 SW 20th Pl Ste 101
Ocala, FL 34471-0869
Phone (813) 978-9700
Other practice location 48
9320 US Highway 301 S Ste 160
Riverview, FL 33578-6300
Phone (813) 978-9700
Other practice location 49
5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700
Other practice location 50
224 NW Crane Ave
Madison, FL 32340-1400
Phone (850) 877-8174
Other practice location 51
5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700
Other practice location 52
801 N Orange Ave Ste 600
Orlando, FL 32801-5202
Phone (407) 841-2100
Other practice location 53
721 W Robertson St Ste 102
Brandon, FL 33511-4900
Phone (813) 684-3707
Other practice location 54
6117 Gunn Hwy
Tampa, FL 33625-4013
Phone (813) 978-9700
Other practice location 55
1615 Pasadena Ave S Ste 150
South Pasadena, FL 33707-4517
Phone (727) 527-5272
Other practice location 56
4423 Central Ave
St Petersburg, FL 33713-8232
Phone (727) 321-4040
Other practice location 57
1586 Bloomingdale Ave
Valrico, FL 33596-6101
Phone (813) 978-9700
Other practice location 58
1011 Jeffords St Bldg C
Clearwater, FL 33756-4070
Phone (727) 446-5993
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251006501 | Medicaid | FL | |
| 251006509 | Medicaid | FL | |
| 251006502 | Medicaid | FL | |
| 251006503 | Medicaid | FL | |
| 251006500 | Medicaid | FL | |
| 251006512 | Medicaid | FL | |
| CG1216 | Other | GA | RAILROAD MEDICARE # |
| CG3489 | Other | GA | RAILROAD MEDICARE |
Other names 1
- Tallahassee Orthopedic Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031222000343 | FL | Part B Supplier - Clinic/Group Practice | 4284532755 | Receives reassigned benefits from 613 practitioners |
| O20040413000339 | GA | Part B Supplier - Clinic/Group Practice | 4284532755 |
Receives reassigned benefits from 33 practitioners 1 other NPI on this enrollment Practice locations: Bainbridge, GA; Cairo, GA; Thomasville, GA |
| O20100930044982 | FL | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 4284532755 | Practice locations: Tallahassee, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Bainbridge, GA
- NPI 1558553982
O20040413000339
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2334445 | Tallahassee Orthopedic Clinic III, PL | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider DirectoryLocations (25 of 35)
721 W Robertson St
Ste 210
Brandon, FL 33511
721 W Robertson St
Brandon, FL 33511
Phone (813) 654-1410
7525 NW 4th Blvd
Ste 400
Gainesville, FL 32607
4729 US Highway 98 S
Ste 101
Lakeland, FL 33812
Phone (863) 646-5789
224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923
2118 SW 20th Pl
Ocala, FL 34471
Phone (352) 525-4900
801 N Orange Ave
Ste 600B
Orlando, FL 32801
Phone (844) 809-1082
801 N Orange Ave
Ste 600
Orlando, FL 32801
425 W 19th St
Ste A
Panama City, FL 32405
Phone (850) 691-4188
407 E Ash St
Perry, FL 32347
Phone (850) 584-0800
3635 Clyde Morris Blvd
Ste 600
Port Orange, FL 32129
Phone 3867349122 ext. 1040
8839 Bryan Dairy Rd
Ste A
Seminole, FL 33777
603 7th St S
Ste 450
St Petersburg, FL 33701
Phone (727) 822-6666
603 7th St S
Fl Orthopaedic
St Petersburg, FL 33701
4600 4th St N
Fl Orthopaedic
St Petersburg, FL 33703
991 E Del Webb Blvd
Ste 210
Sun City Center, FL 33573
1901 Haverford Ave
Ste 107
Sun City Ctr, FL 33573
Phone (813) 633-0286
2930 Wellington Cir
Tallahassee, FL 32309
2930 Wellington Cir
Ste 101
Tallahassee, FL 32309
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
3334 Capital Medical Blvd
#C400
Tallahassee, FL 32308
2605 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 219-1932
909 N Dale Mabry Hwy
Ste 400
Tampa, FL 33609
5016 W Cypress St
Ste 200
Tampa, FL 33607
Phone (813) 542-2587
909 N Dale Mabry Hwy
Ste 100
Tampa, FL 33609
Practitioners & affiliated clinicians
Practitioners 648
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Hand Surgery Physician
- Tallahassee, FL
- NPI 1104182708
FL, GA, Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1194778050",
"addresses": [
{
"country_code": "US",
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"address_purpose": "MAILING",
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"address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
"city": "TALLAHASSEE",
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"postal_code": "323084470",
"telephone_number": "850-877-8174",
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},
{
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"fax_number": "844-261-6839"
}
],
"practiceLocations": [
{
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},
{
"address_1": "3635 Clyde Morris Blvd Ste 600",
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"state": "FL",
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"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "617 Canal St Ste 110",
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"city": "New Smyrna Beach",
"state": "FL",
"postal_code": "321686901",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3890 Tampa Rd Ste 303",
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"city": "Palm Harbor",
"state": "FL",
"postal_code": "346843677",
"country_code": "US",
"telephone_number": "727-787-5577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3618 Madaca Ln",
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"state": "FL",
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"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8839 Bryan Dairy Rd Ste 240A",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337771203",
"country_code": "US",
"telephone_number": "727-461-6026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1337 S International Pkwy Ste 1341",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327461402",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1565 Saxon Blvd Ste 301",
"address_purpose": "LOCATION",
"city": "Deltona",
"state": "FL",
"postal_code": "327255836",
"country_code": "US",
"telephone_number": "407-841-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7540 W University Ave",
"address_purpose": "LOCATION",
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"state": "FL",
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"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
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},
{
"address_1": "2044 Trinity Oaks Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346554405",
"country_code": "US",
"telephone_number": "727-461-6026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2011 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324054545",
"country_code": "US",
"telephone_number": "850-691-4188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "113 W Hansell St",
"address_purpose": "LOCATION",
"city": "Thomasville",
"state": "GA",
"postal_code": "317926664",
"country_code": "US",
"telephone_number": "229-226-3060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 Carlisle Rd",
"address_purpose": "LOCATION",
"city": "Chipley",
"state": "FL",
"postal_code": "324284360",
"country_code": "US",
"telephone_number": "850-526-3236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1002 N Arnold Rd",
"address_purpose": "LOCATION",
"city": "Panama City Beach",
"state": "FL",
"postal_code": "324132523",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3131 N McMullen Booth Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337612008",
"country_code": "US",
"telephone_number": "727-787-5577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "740 W Plymouth Ave",
"address_purpose": "LOCATION",
"city": "Deland",
"state": "FL",
"postal_code": "327203282",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "603 7th St S Ste 450",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337014741",
"country_code": "US",
"telephone_number": "727-527-5272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1053 Medical Center Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Orange City",
"state": "FL",
"postal_code": "327638259",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6748 Gall Blvd",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335422545",
"country_code": "US",
"telephone_number": "813-896-2338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4725 US Highway 98 S Ste 101-102",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338124334",
"country_code": "US",
"telephone_number": "863-328-5410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2653 Bruce B Downs Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Wesley Chapel",
"state": "FL",
"postal_code": "335449206",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17907 Aprile Dr Ste 125",
"address_purpose": "LOCATION",
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"state": "FL",
"postal_code": "346384919",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17907 Aprile Dr Ste 125",
"address_purpose": "LOCATION",
"city": "Land O Lakes",
"state": "FL",
"postal_code": "346384919",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8839 Bryan Dairy Rd Ste 240B",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337771203",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 N Orange Ave Ste 600B",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328015202",
"country_code": "US",
"telephone_number": "407-841-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1011 Jeffords St Bldg B",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337564070",
"country_code": "US",
"telephone_number": "727-446-4477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36413 US Highway 19 N",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346841329",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11286 Boyette Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335698022",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7525 NW 4th Blvd Ste 90",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326071846",
"country_code": "US",
"telephone_number": "352-744-7868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 W Oak St Ste A",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414448",
"country_code": "US",
"telephone_number": "407-841-2100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4600 4th St N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337033802",
"country_code": "US",
"telephone_number": "727-527-5272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "560 S Lakewood Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115015",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5016 W Cypress St Ste 210",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336073809",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1011 Jeffords St Bldg D",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337564070",
"country_code": "US",
"telephone_number": "727-449-2599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "430 Morton Plant St Ste 206",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337563396",
"country_code": "US",
"telephone_number": "727-298-5230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1155 5th St SE",
"address_purpose": "LOCATION",
"city": "Cairo",
"state": "GA",
"postal_code": "398283142",
"country_code": "US",
"telephone_number": "229-226-3060",
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},
{
"address_1": "430 Morton Plant St Ste 301",
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"state": "FL",
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"country_code": "US",
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},
{
"address_1": "909 N Dale Mabry Hwy",
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},
{
"address_1": "5243 Hanff Ln",
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},
{
"address_1": "2414 Enterprise Rd",
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},
{
"address_1": "603 Wheat Ave Ste 800",
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"city": "Bainbridge",
"state": "GA",
"postal_code": "398194367",
"country_code": "US",
"telephone_number": "229-246-3608",
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},
{
"address_1": "2118 SW 20th Pl Ste 102",
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},
{
"address_1": "3051 6th St",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324461933",
"country_code": "US",
"telephone_number": "850-526-3236",
"country_name": "United States",
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},
{
"address_1": "2605 Welaunee Blvd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
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"country_code": "US",
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"country_name": "United States",
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},
{
"address_1": "1376 Brickyard Rd Ste 4",
"address_purpose": "LOCATION",
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"state": "FL",
"postal_code": "324286392",
"country_code": "US",
"telephone_number": "850-526-3236",
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},
{
"address_1": "803 W Main St",
"address_purpose": "LOCATION",
"city": "Perry",
"state": "FL",
"postal_code": "323472612",
"country_code": "US",
"telephone_number": "850-584-7078",
"country_name": "United States",
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},
{
"address_1": "2118 SW 20th Pl Ste 101",
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},
{
"address_1": "9320 US Highway 301 S Ste 160",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335786300",
"country_code": "US",
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},
{
"address_1": "5901 E Fowler Ave Ste 100",
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"state": "FL",
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"country_name": "United States",
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},
{
"address_1": "224 NW Crane Ave",
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"city": "Madison",
"state": "FL",
"postal_code": "323401400",
"country_code": "US",
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"fax_number": "844-261-6839",
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},
{
"address_1": "5901 E Fowler Ave Ste 100",
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"state": "FL",
"postal_code": "336172305",
"country_code": "US",
"telephone_number": "813-978-9700",
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},
{
"address_1": "801 N Orange Ave Ste 600",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328015202",
"country_code": "US",
"telephone_number": "407-841-2100",
"country_name": "United States",
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},
{
"address_1": "721 W Robertson St Ste 102",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335114900",
"country_code": "US",
"telephone_number": "813-684-3707",
"country_name": "United States",
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},
{
"address_1": "6117 Gunn Hwy",
"address_purpose": "LOCATION",
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"state": "FL",
"postal_code": "336254013",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
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},
{
"address_1": "1615 Pasadena Ave S Ste 150",
"address_purpose": "LOCATION",
"city": "South Pasadena",
"state": "FL",
"postal_code": "337074517",
"country_code": "US",
"telephone_number": "727-527-5272",
"country_name": "United States",
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},
{
"address_1": "4423 Central Ave",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337138232",
"country_code": "US",
"telephone_number": "727-321-4040",
"country_name": "United States",
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},
{
"address_1": "1586 Bloomingdale Ave",
"address_purpose": "LOCATION",
"city": "Valrico",
"state": "FL",
"postal_code": "335966101",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1011 Jeffords St Bldg C",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337564070",
"country_code": "US",
"telephone_number": "727-446-5993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
"authorized_official_telephone_number": "813-978-9700"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
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"license": null,
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},
{
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"desc": "Pain Medicine, Interventional Pain Medicine",
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},
{
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},
{
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"desc": "Clinic/Center, Physical Therapy",
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},
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{
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],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251006501",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251006509",
"state": "FL"
},
{
"code": "05",
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"issuer": null,
"identifier": "251006502",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251006503",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251006500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251006512",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE #",
"identifier": "CG1216",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG3489",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tallahassee Orthopedic Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tallahassee Orthopedic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tallahassee, FL
- Tallahassee Orthopedic & Sports Physical Therapy
- Tallahassee Orthopedic & Sports Physical Therapy
- Tallahassee Orthopedic & Sports Physical Therapy
- Tallahassee Orthopedic & Sports Physical Therapy, Inc,
- Tallahassee Orthopedic & Sports Physical Therapy, LLC
- Tallahassee Orthopedic Clinic III PL
- Tallahassee Orthopedic Clinic III PL
- Tallahassee Orthopedic Clinic III PL
- Tallahassee Orthopedic Clinic III, P.L.
- Tallahassee Orthopedic Clinic III, P.L.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.