Individual
SELLY WOLKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 SHERIDAN ST, HOLLYWOOD, FL 33020-2306
(954) 922-7400
(954) 925-1327
Mailing address
1610 SHERIDAN ST, HOLLYWOOD, FL 33020-2306
(954) 922-7400
(954) 925-1327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME51678
FL
208D00000X
General Practice Physician
Primary
ME0051678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268680500
—
FL
Enumeration date
09/07/2006
Last updated
05/04/2015
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