Wilf, Larry H

Wilf, Larry H is an individual health care provider with primary practice located at 693 Ponte Vedra Blvd Unit A201 , Ponte Vedra Beach FL 32082-2989. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Wilf, Larry H can be contacted via phone (904) 200-2409.

Contact Information

Primary practice address
693 Ponte Vedra Blvd Unit A201 Ponte Vedra Beach FL 32082-2989
Phone: (904) 200-2409
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME50946 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME50946 Florida
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X ME50946 Florida

Profile Details

NPI number 1508824608
LBN Legal business name Wilf, Larry H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 2nd, 2022 - 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 1508824608 NPPES
Florida Other 1119092 WELLCARE
Florida Other P01451893 WELLCARE
Florida MEDICAID 006250600 WELLCARE
Florida Other 1226050 WELLCARE
Florida MEDICAID 258093400 WELLCARE
Florida Other 03743 WELLCARE
Florida Other 5018006 WELLCARE
Florida Other P01596525 WELLCARE
Florida Other P00714011 WELLCARE
Florida Other 301208 WELLCARE
Florida Other P00190196 WELLCARE

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