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NPI Code Detail

MEDICARE: ANDREW MARTIN WOLFF MD

MEDICARE:   ANDREW MARTIN WOLFF  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianME0045996FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164415311
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW MARTIN WOLFF MD
Provider Business Mailing Address
First Line : 1630 S TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3108
Country : US
Telephone Number : 941-917-6700
Fax Number :
Provider Business Practice Location Address
First Line : 1630 S TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3108
Country : US
Telephone Number : 941-917-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 09/17/2020

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