Individual
DR. BENJAMIN CANNEY WOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 259-0661
(813) 259-0697
Mailing address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 250-2506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME136799
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME136799
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
07/27/2021
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