Healthcare Provider Details

I. General information

NPI: 1497712475
Provider Name (Legal Business Name): RICHARD CRAIG WOLFSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14813 N DEL WEBB BLVD
SUN CITY AZ
85351-2145
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 602-834-5435
  • Fax: 888-830-1610
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number23377
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: