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Individual

DR. ERNEST WOLLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1524 PINE BAY DR, SARASOTA, FL 34231-3550
(941) 349-1868
(941) 349-9170
Mailing address
1524 PINE BAY DR, SARASOTA, FL 34231-3550
(941) 349-1868
(941) 349-9170

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0008870
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261042600
FL
01
300129387
RAILROAD MEDICARE
FL
01
35074
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/19/2006
Last updated
08/08/2012
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