Healthcare Provider Details

I. General information

NPI: 1437386232
Provider Name (Legal Business Name): EMILY T WOLFE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2009
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4012 N 9TH AVE
PENSACOLA FL
32503-2824
US

IV. Provider business mailing address

4012 N 9TH AVE
PENSACOLA FL
32503-2824
US

V. Phone/Fax

Practice location:
  • Phone: 850-444-4777
  • Fax: 850-444-9867
Mailing address:
  • Phone: 850-444-4777
  • Fax: 850-444-9867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberME153616
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: