Healthcare Provider Details

I. General information

NPI: 1609967595
Provider Name (Legal Business Name): CRAIG ROBERT WOLFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1814 WELLNESS LN
TRINITY FL
34655-5357
US

IV. Provider business mailing address

1814 WELLNESS LN
TRINITY FL
34655-5357
US

V. Phone/Fax

Practice location:
  • Phone: 727-372-5212
  • Fax: 754-755-1623
Mailing address:
  • Phone: 727-372-5212
  • Fax: 754-755-1623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberME77955
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: