Organization
LIVE OAK NEUROSURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L WOLFF MD (OWNER)
(850) 890-7706
Entity
Organization
Contact information
Practice address
1555 N PALAFOX ST, PENSACOLA, FL 32501-2134
(850) 512-3482
(850) 969-2130
Mailing address
PO BOX 2243, PENSACOLA, FL 32513-2243
(850) 478-1312
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022217200
—
FL
01
—
QYYRS
FLORIDA BLUE
FL
Enumeration date
08/16/2017
Last updated
03/05/2026
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