Individual
MR. DALE EDWIN WOLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1110 E GIBSON ST, ARCADIA, FL 34266-5011
(863) 494-1918
(863) 993-2116
Mailing address
700 8TH AVE W, STE 101, PALMETTO, FL 34221-4737
(941) 776-4008
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
H0063736
MD
207V00000X
Obstetrics & Gynecology Physician
Primary
OS4624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1966
WEST VA MEDICAL LICENSE
WV
Enumeration date
05/23/2006
Last updated
03/24/2017
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