Individual
GLENN WOLFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 GREENHAVEN TRL, OLDSMAR, FL 34677-4850
(727) 460-3080
Mailing address
PO BOX 729, OLDSMAR, FL 34677-0729
(727) 460-3080
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 56534
FL
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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