Organization Active NPI

Segue Health of Florida LLC

  • Multi-Specialty Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1609490895
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SEGUE HEALTH OF FLORIDA LLC
Practice address
113 S Monroe St FL 1
Tallahassee, FL 32301-1529
Phone
(888) 551-2538
Fax
(844) 364-2629
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Camille Clark
Title
Secretary
Phone
(901) 626-3515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

113 S Monroe St FL 1
Tallahassee, FL 32301-1529

Mailing address

765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (901) 626-3515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1609490895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 WOODLAND TRACE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186609",
            "telephone_number": "901-626-3515",
            "fax_number": "844-364-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S MONROE ST FL 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011529",
            "telephone_number": "888-551-2538",
            "fax_number": "844-364-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUE HEALTH OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "901-626-3515"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2020; 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.