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

Southern Internal Medicine Associates, PLLC

Organization Internal Medicine Physician · NPI 1639909658

Southern Internal Medicine Associates, PLLC is an Internal Medicine Physician in Tallahassee, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Medical Dr
Tallahassee, FL 32308-4646
Phone: (850) 216-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1639909658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Immanuel Dhanarajan — Cfo · (850) 727-2459
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address1300 Medical Dr, Tallahassee, FL 32308-4646

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