Individual
MR. YAN WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 BATES AVE SW, WINTER HAVEN, FL 33880-2953
(863) 288-0942
(863) 288-0943
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
187897
NY
208800000X
Urology Physician
Primary
ME153746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114650000
—
FL
Enumeration date
07/24/2006
Last updated
03/18/2025
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