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Organization
BETH WOLF APRN-BC LLC
Active
Organization
BETH WOLF APRN-BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH WOLF APRN (OWNER)
(561) 289-0709
Entity
Organization
Contact information
Practice address
21301 POWERLINE RD STE 106, BOCA RATON, FL 33433-2389
(866) 550-7362
(561) 516-7362
Mailing address
3210 N ANDREWS AVENUE EXT, POMPANO BEACH, FL 33064-2116
(561) 289-0709
(561) 516-7362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/03/2021
Last updated
11/21/2023
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