Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wade G Douglas, MD

Individual provider Surgery Physician · NPI 1689634388

Wade G Douglas, MD is a Surgery Physician in Tallahassee, Florida. Licensed in Florida and West Virginia. Registered with an NPI since 2006.

Licensed in
FL, WV
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1401 Centerville Rd Ste 100
Tallahassee, FL 32308-3656
Phone: (850) 877-5183
Fax: (850) 656-1288
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Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME120744 (FL)
Surgery Physician Taxonomy 208600000X · Licence 21963 (WV)
Surgical Oncology Physician Taxonomy 2086X0206X · Licence 21963 (WV)

Record details

NPI number1689634388
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2006
Last updated in NPPESAugust 19, 2014
Mailing address1401 Centerville Road, Suite 100, Tallahassee, FL 32308-3656

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