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Dr. Jared John Wallen, MD
Urology Physician in Brandon, Florida
NPI 1144596974

Jared John Wallen is a Urology Physician based in Brandon, FL. Jared John Wallen practices in Brandon, FL and has the professional credentials of MD. The NPI Number for Jared John Wallen is 1144596974 and holds a License No. ME131777 (Florida).

The current practice location address for Jared John Wallen is 938 Oakfield Dr, Brandon, FL and can be reached out via phone at 813-278-8850 and via fax at 813-820-3508.

Location: 938 Oakfield Dr, Brandon, FL, 33511-4950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144596974
Provider Name
Jared John Wallen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
938 Oakfield Dr, Brandon, FL, 33511-4950
Phone Number
813-278-8850
Fax Number
813-820-3508
Provider Enumeration Date
03/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120075300 05 FL
institution
Provider Business Practice Location Address Details
Address
938 Oakfield Dr
City
Brandon
State
Florida
Zip
33511-4950
Phone Number
813-278-8850
Fax Number
813-820-3508
person
Provider Business Mailing Address Details
Address
938 Oakfield Dr
City
Brandon
State
Florida
Zip
33511-4950
Phone Number
813-278-8850
Fax Number
813-820-3508
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
ME131777 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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