Provider Demographics
NPI:1619591864
Name:TODAY TELEMEDICINE PLLC
Entity Type:Organization
Organization Name:TODAY TELEMEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:G
Authorized Official - Last Name:PURDY
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:407-902-8899
Mailing Address - Street 1:1400 VILLAGE SQUARE BLVD # 3-81835
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-1250
Mailing Address - Country:US
Mailing Address - Phone:407-902-8899
Mailing Address - Fax:800-964-0791
Practice Address - Street 1:31331 SHADOW BRANCH LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4611
Practice Address - Country:US
Practice Address - Phone:407-902-8899
Practice Address - Fax:800-964-0791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1487739512OtherCOMMERCIAL GROUP PLANS