Organization Active NPI

Wolfe & Wolfe Enterprises Inc

  • Clinic/Center
  • Panama City, FL
National Provider Identifier
1639490642
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ARNP3417872 Issued in FL
Legal business name
WOLFE & WOLFE ENTERPRISES INC
Practice address
100 Doctors Dr
Suite C
Panama City, FL 32405-7608
Phone
(850) 814-8400
Fax
(850) 747-8836
NPI assigned
Jun 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Ms. Waneda Kay Wolfe, ARNP
Title
President
Phone
(850) 814-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ARNP3417872 FL Primary

Addresses

Primary practice location

100 Doctors Dr
Suite C
Panama City, FL 32405-7608

Mailing address

220 Harmon Ave
Panama City, FL 32401-5801
Phone (850) 814-8400

Other identifiers 1

IdentifierTypeStateIssuer
1013007723OtherFLNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1639490642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HARMON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324015801",
            "telephone_number": "850-814-8400",
            "fax_number": "850-215-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057608",
            "telephone_number": "850-814-8400",
            "fax_number": "850-747-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFE & WOLFE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "WANEDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-814-8400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ARNP3417872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013007723",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.