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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1407959836 NPPES
Florida MEDICAID 268680500

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