Individual
TEDDRIC W. WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
(352) 589-3487
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
ARNP710652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2794
BC BS
FL
Enumeration date
08/28/2006
Last updated
12/07/2007
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