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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

Other

Enumeration date
06/28/2007
Last updated
02/24/2025
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