Wolkov, Selly
Wolkov, Selly is an individual health care provider with primary practice located at 1610 Sheridan St , Hollywood FL 33020-2306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Wolkov, Selly can be contacted via phone (954) 922-7400.Contact Information
Primary practice address
1610 Sheridan St
Hollywood FL 33020-2306
Phone: (954) 922-7400
Fax: (954) 925-1327
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME51678 | Florida |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME0051678 | Florida |
Profile Details
NPI number | 1407959836 |
---|---|
LBN Legal business name | Wolkov, Selly |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 7th, 2006 |
Last updated | May 4th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407959836 | NPPES |
Florida | MEDICAID | 268680500 |
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