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Organization
FLORIDA STATE UNIVERSITY
Active
Organization
FLORIDA STATE UNIVERSITY
Active
Other names
FSU Healthy Lifestyle Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN WANG (DEAN COLLEGE OF NURSING)
(850) 644-5707
Entity
Organization
Contact information
Practice address
1630 RIGGINS RD, TALLAHASSEE, FL 32308-5316
(850) 878-4434
(850) 878-4423
Mailing address
1630 RIGGINS RD, TALLAHASSEE, FL 32308-5316
(850) 878-4434
(850) 878-4423
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
02/24/2025
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