Organization Active NPI

Wulff Medical Inc

  • Family Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1861329104
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WULFF MEDICAL INC
Practice address
1952 N Williamson Blvd
Daytona Beach, FL 32117-5261
Phone
(386) 363-2000
Fax
(386) 676-2555
NPI assigned
May 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Kristin Lynelle Wulff, MD
Title
Owner
Phone
(386) 238-9064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1952 N Williamson Blvd
Daytona Beach, FL 32117-5261

Mailing address

PO Box 1540
Edgewater, FL 32132-8540
Phone (386) 676-0255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1861329104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1540",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321328540",
            "telephone_number": "386-676-0255",
            "fax_number": "386-676-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 N WILLIAMSON BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175261",
            "telephone_number": "386-363-2000",
            "fax_number": "386-676-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WULFF MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "WULFF",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LYNELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-238-9064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.