Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Florida Medical Practice Plan Inc

Organization Clinical Neuropsychologist · NPI 1629947346

Florida Medical Practice Plan Inc is a Clinical Neuropsychologist in Tallahassee, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2390 Phillips Rd
Tallahassee, FL 32308-5326
Phone: (850) 645-9451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Clinical Neuropsychologist Taxonomy 103G00000X
Genetic Counselor (M.S.) Taxonomy 170300000X
Internal Medicine Physician Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1629947346
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFlorida Medical Practice Plan Inc
Authorized official Patricia Ballantine — Head Of Clinical Operations · (850) 645-9451
NPI enumeratedOctober 31, 2025
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address2390 Phillips Rd, Tallahassee, FL 32308-5326

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