Provider First Line Business Practice Location Address:
FSU COLLEGE OF MEDICINE SCHOOL OF PA PRACTICE
Provider Second Line Business Practice Location Address:
1115 WEST CALL STREET
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32306-4300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-644-5323
Provider Business Practice Location Address Fax Number:
850-645-2846
Provider Enumeration Date:
06/01/2026