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General NPI Number Information
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NPI Number | 1649254855
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Entity Type | Individual
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Provider Name | CHARLES L WOLFF III MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1555 N PALAFOX ST
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City | PENSACOLA
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State | FL
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Zip | 32501-2134
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Country | US
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Telephone | 850-512-3482
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Fax | 850-969-2130
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Provider Business Mailing Address
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Address Line | PO BOX 2243
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City | PENSACOLA
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State | FL
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Zip | 32513-2243
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Country | US
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Telephone | 850-512-3482
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Fax | 850-969-2130
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME0086406
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 22691
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License Number State | AL
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