Individual
JEFFREY P WOLTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4724 N DAVIS HWY # 100, PENSACOLA, FL 32503-2339
(850) 201-2421
(850) 886-2235
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101251366
VA
208800000X
Urology Physician
Primary
ME114334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007159800
—
FL
Enumeration date
06/29/2007
Last updated
04/30/2026
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