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General NPI Number Information
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NPI Number | 1912920729
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Entity Type | Individual
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Provider Name | GARY MICHAEL WOLFSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 1411 N FLAGLER DR SUITE 7500
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3404
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Country | US
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Telephone | 561-833-1010
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Fax | 561-833-0952
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Provider Business Mailing Address
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Address Line | 1411 N FLAGLER DR SUITE 7500
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3404
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Country | US
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Telephone | 561-833-1010
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Fax | 561-833-0952
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME057852
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License Number State | FL
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