# BETH WOLF APRN-BC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225623168
- **Authorized official:** BETH WOLF APRN (OWNER)
- **Authorized official phone:** (561) 289-0709

## Contact information

- **Practice address:** 21301 POWERLINE RD STE 106, BOCA RATON, FL 33433-2389
- **Practice address phone:** (866) 550-7362
- **Practice address fax:** (561) 516-7362
- **Mailing address:** 3210 N ANDREWS AVENUE EXT, POMPANO BEACH, FL 33064-2116
- **Mailing address phone:** (561) 289-0709
- **Mailing address fax:** (561) 516-7362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2021
- **Last updated:** 11/21/2023