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NPI Code Detail

MEDICARE: DR. DAVID WOLFSON MD

MEDICARE: DR. DAVID WOLFSON 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME78393FL

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 : 1952360752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WOLFSON MD
Provider Business Mailing Address
First Line : PO BOX 741087
Second Line :
City : ATLANTA
State : GA
Zip : 30374-1087
Country : US
Telephone Number : 850-325-5888
Fax Number : 850-325-5173
Provider Business Practice Location Address
First Line : 2626 CAPITAL MEDICAL BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-4402
Country : US
Telephone Number : 850-325-5888
Fax Number : 850-325-5173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 10/13/2018

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