| NPI | 1902003536 |
|---|---|
| Doing Business As | FSU HEALTHY LIFESTYLE MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEAN WANG Dean College Of Nursing 850-644-5707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2025-02-24 |