Provider First Line Business Practice Location Address:
2770 CAPITAL MEDICAL BLVD, SUITE 200-A CAPITAL PRIMARY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-878-8235
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/01/2026