Individual
BUD L WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10898 BAYMEADOWS RD STE 300, JACKSONVILLE, FL 32256-5838
(904) 363-2733
(904) 390-7484
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME49196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00088992
RAILROAD MEDICARE
FL
Enumeration date
03/14/2006
Last updated
09/12/2024
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