Wolford, Robert W

Wolford, Robert W is an individual health care provider with primary practice located at 820 Prudential Dr Ste 304 Credentialing Department, Jacksonville FL 32207-8205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wolford, Robert W can be contacted via phone (904) 346-3649.

Contact Information

Primary practice address
820 Prudential Dr Ste 304 Credentialing Department Jacksonville FL 32207-8205
Phone: (904) 346-3649
Fax: (904) 348-5627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME71952 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME71952 Florida

Profile Details

NPI number 1881662096
LBN Legal business name Wolford, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 7th, 2024 - about 3 months 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 1881662096 NPPES
Florida MEDICAID 2746921-00
Florida Other P00283853
Florida MEDICAID 000798762B

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