Provider Demographics
NPI:1588492284
Name:TMGIM PLLC
Entity type:Organization
Organization Name:TMGIM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:
Authorized Official - Last Name:VANLANDINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-878-6134
Mailing Address - Street 1:1511 SURGEONS DR STE A
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4681
Mailing Address - Country:US
Mailing Address - Phone:850-878-6134
Mailing Address - Fax:850-701-0696
Practice Address - Street 1:1511 SURGEONS DR STE A
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4681
Practice Address - Country:US
Practice Address - Phone:850-878-6134
Practice Address - Fax:850-701-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty