Individual
DR. COREY JAY WOLFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 E AIRPORT BLVD, PENSACOLA, FL 32504
(850) 474-4777
(850) 484-2656
Mailing address
1530 E AIRPORT BLVD, PENSACOLA, FL 32504
(850) 474-4777
(850) 484-2656
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME63257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23936
BCBS FL PROVIDER #
FL
Enumeration date
10/03/2006
Last updated
07/09/2007
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