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Organization

NOBLEJAZZ, INC

Active
Other names
Surgical Specialists Associated
Organization subpart
No

Provider details

NPI number
Authorized official
WESLEY BLAKE VANDERLAN MD (PHYSICIAN)
(775) 842-2903
Entity
Organization

Contact information

Practice address
3320 THOMASVILLE RD STE 302, TALLAHASSEE, FL 32308-7971
(775) 842-2903
Mailing address
3320 THOMASVILLE RD STE 302, TALLAHASSEE, FL 32308-7971
(775) 842-2903

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
01/22/2010
Last updated
03/14/2024
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