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Individual
RUSSELL M WOLFE
Active
Individual
RUSSELL M WOLFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
62097
FL
207W00000X
Ophthalmology Physician
Primary
ME0062097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100817
AV MED
FL
01
—
15197
BCBS OF FL
FL
01
—
180031939
RAILROAD MEDICARE
FL
01
—
1820665
CIGNA
FL
01
—
2078933
AETNA
FL
01
—
2504301
EMPLOYERS MUTUAL
FL
05
—
370552800
—
FL
Enumeration date
08/24/2006
Last updated
03/23/2021
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