Provider Demographics
NPI:1538146857
Name:WOOLF, ISLON (MD)
Entity type:Individual
Prefix:DR
First Name:ISLON
Middle Name:
Last Name:WOOLF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 MICHIGAN AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139
Mailing Address - Country:US
Mailing Address - Phone:305-538-3828
Mailing Address - Fax:305-538-1979
Practice Address - Street 1:1691 MICHIGAN AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139
Practice Address - Country:US
Practice Address - Phone:305-538-3828
Practice Address - Fax:305-538-1979
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 66842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF89954Medicare UPIN
FL25862WMedicare PIN