Individual
WASEET Z VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
1715 EAGLE HARBOR PKWY, SUITE C, FLEMING ISLAND, FL 32003-4324
(904) 264-6201
(904) 264-6858
Mailing address
7015 A C SKINNER PKWY, SUITE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MD2010-0154
NM
2085R0001X
Radiation Oncology Physician
Primary
ME120514
FL
2085R0001X
Radiation Oncology Physician
N6080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013013700
—
FL
Enumeration date
09/19/2008
Last updated
09/17/2014
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