Healthcare Provider Details

I. General information

NPI: 1821968884
Provider Name (Legal Business Name): MARCELA WOLFF APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21097 NE 27TH CT STE 100
AVENTURA FL
33180-1237
US

IV. Provider business mailing address

21097 NE 27TH CT STE 100
AVENTURA FL
33180-1237
US

V. Phone/Fax

Practice location:
  • Phone: 786-428-1059
  • Fax: 786-428-1062
Mailing address:
  • Phone: 786-428-1059
  • Fax: 786-428-1062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11043327
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: