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NPI Code Detail

MEDICARE: DR. EMMANUELA HENRIETTE WOLLOCH M.D.

MEDICARE:  DR. EMMANUELA HENRIETTE WOLLOCH  M.D.
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
1207VG0400XGynecology PhysicianME 0059103FL

General Provider Information

NPI Number : 1619016391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMMANUELA HENRIETTE WOLLOCH M.D.
Provider Business Mailing Address
First Line : 1801 NE 123RD ST
Second Line : STE 415
City : NORTH MIAMI
State : FL
Zip : 33181-2817
Country : US
Telephone Number : 305-935-8775
Fax Number : 305-705-2825
Provider Business Practice Location Address
First Line : 1801 NE 123RD ST
Second Line : STE 415
City : NORTH MIAMI
State : FL
Zip : 33181-2817
Country : US
Telephone Number : 305-935-8775
Fax Number : 305-705-2825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 10/21/2014

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Directions to “ DR. EMMANUELA HENRIETTE WOLLOCH M.D.” Practice Location

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