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NPI Code Detail

MEDICARE: DR. LAURA H WOLF MD

MEDICARE:  DR. LAURA H WOLF  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME72224FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619990231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA H WOLF MD
Provider Business Mailing Address
First Line : PO BOX 918953
Second Line :
City : ORLANDO
State : FL
Zip : 32891-0001
Country : US
Telephone Number : 772-778-9621
Fax Number : 866-665-2702
Provider Business Practice Location Address
First Line : 1555 INDIAN RIVER BLVD
Second Line : B-120
City : VERO BEACH
State : FL
Zip : 32960-7103
Country : US
Telephone Number : 772-778-9621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 06/13/2012

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Directions to “ DR. LAURA H WOLF MD” Practice Location

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