Organization
MEDXCLUSIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY HOPKINS VANDERLAN (MANAGING PARTNER)
(734) 812-3939
Entity
Organization
Contact information
Practice address
3320 THOMASVILLE RD STE 302, TALLAHASSEE, FL 32308-7971
(734) 812-3939
Mailing address
3320 THOMASVILLE RD STE 302, TALLAHASSEE, FL 32308-7971
(734) 812-3939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
02/22/2024
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