Enrique a Wulff MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME82397 Issued in FL

Legal business name

ENRIQUE A WULFF MD PA

Practice address

351 NW Lejeune Rd
Suite 103
Miami, FL 33126-5683

Phone

(305) 642-4616

Fax

(305) 631-1419

NPI assigned

Apr 19, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Enrique A Wulff, MDNPI 1114030186

Title

Owner

Phone

(305) 642-4646

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Enrique A Wulff, MD

  • Neurology Physician
  • Salem, OH
  • NPI 1114030186
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1427492511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NW LEJEUNE RD",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-642-4616",
            "fax_number": "305-631-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW LEJEUNE RD",
            "address_2": "SUITE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "305-642-4616",
            "fax_number": "305-631-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRIQUE A WULFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "WULFF",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-642-4646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME82397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261721800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Enriace Medical Supply Corp.
• Enrique C Fernandez MD PA
• Enrique C. Escofet, DDS, PA
• Enrique Diaz MD PA
• Enrique G. Casuso,M.D., P.a
• Enrique J Canton MD PA

• Neurology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.