Wolk, Bradford J

Wolk, Bradford J is an individual health care provider with primary practice located at 1674 W Hibiscus Blvd , Melbourne FL 32901-2631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Wolk, Bradford J can be contacted via phone (321) 473-7170.

Contact Information

Primary practice address
1674 W Hibiscus Blvd Melbourne FL 32901-2631
Phone: (321) 473-7170
Fax: (321) 725-7780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 90227 Florida

Profile Details

NPI number 1861486227
LBN Legal business name Wolk, Bradford J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Oct 2nd, 2012 - about 14 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 1861486227 NPPES
Florida MEDICAID 269824200
Florida Other 44018
Florida Other ME 90227

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