Individual
DR. BENNETT LLOYD WOLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4601 S UNIVERSITY DR, DAVIE, FL 33328-3817
(954) 680-7133
(954) 680-7135
Mailing address
4601 S UNIVERSITY DR, DAVIE, FL 33328-3817
(954) 680-7133
(954) 680-7135
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO0002066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052006300
—
FL
Enumeration date
12/23/2005
Last updated
06/26/2010
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