OrganizationActive
Adolescent and Pediatric Medical Center
NPI 1093039562 · Pediatric Adolescent Medicine Physician · Tallahassee, FL
Provider details
- NPI number
- 1093039562
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lionel Henry, Owner/Doctor(850) 878-5147
- License
- ME39184 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1638 N Plaza Dr
Tallahassee, FL 32308-5323
Phone: (850) 878-5147
Fax: (850) 942-9844
Street-level locationGet directions
Mailing address
1638 N Plaza Dr
Tallahassee, FL 32308-5323
Registry dates
- Enumerated
- 2010-03-26
- Last updated
- 2010-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.