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NPI Code Detail

MEDICARE: RENAN WOLF APRN

MEDICARE:   RENAN  WOLF  APRN
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
1207R00000XInternal Medicine Physician11040285FL

General Provider Information

NPI Number : 1821960667
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENAN WOLF APRN
Provider Business Mailing Address
First Line : 6328 GUNN HWY STE B
Second Line :
City : TAMPA
State : FL
Zip : 33625-4101
Country : US
Telephone Number : 813-964-8526
Fax Number : 813-964-8536
Provider Business Practice Location Address
First Line : 6328 GUNN HWY STE B
Second Line :
City : TAMPA
State : FL
Zip : 33625-4101
Country : US
Telephone Number : 813-964-8526
Fax Number : 813-964-8536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2025
Last Update Date : 09/22/2025

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Directions to “ RENAN WOLF APRN” Practice Location

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