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General NPI Number Information
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NPI Number | 1730184821
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Entity Type | Individual
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Provider Name | EDUARDO WOLFFE MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 3601 SW 160TH AVE SUITE 250
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City | MIRAMAR
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State | FL
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Zip | 33027-6308
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Country | US
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Telephone | 877-866-7123
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 742712
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City | ATLANTA
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State | GA
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Zip | 30374-2712
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Country | US
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Telephone | 877-866-7123
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M0313
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 025423
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M0313
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License Number State | TX
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