Wolfe, Russell M

Wolfe, Russell M is an individual health care provider with primary practice located at 3419 Johnson St , Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wolfe, Russell M can be contacted via phone (954) 989-2800.

Contact Information

Primary practice address
3419 Johnson St Hollywood FL 33021
Phone: (954) 989-2800
Fax: (954) 989-2873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 62097 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0062097 Florida

Profile Details

NPI number 1558478586
LBN Legal business name Wolfe, Russell M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Mar 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558478586 NPPES
Florida Other 180031939 RAILROAD MEDICARE
Florida Other 2504301 RAILROAD MEDICARE
Florida Other 15197 RAILROAD MEDICARE
Florida Other 1820665 RAILROAD MEDICARE
Florida Other 2078933 RAILROAD MEDICARE
Florida MEDICAID 370552800 RAILROAD MEDICARE
Florida Other 100817 RAILROAD MEDICARE

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