Individual provider · Type 1 NPI
Jared John Wallen, MD
Urology Physician · Brandon, FL
NPI number
1144596974
Active
Practice location
938 Oakfield Dr
Brandon, FL 33511-4950
Fax (813) 820-3508
Other practice locations
- 1350 Hickory St, Melbourne, FL 32901-3224 · (321) 434-1771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | ME131777 (FL) |
Urology Physician: 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.
Another provider at this address
Other urology physician providers in Brandon
About NPI 1144596974
Jared John Wallen, MD's National Provider Identifier is 1144596974, issued on Mar 27, 2012. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Brandon, FL. The record was last updated on Oct 30, 2023.