Provider Demographics
NPI:1346993102
Name:WOLFER, BRIANNE (DC)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:WOLFER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 N DIXIE FWY
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA
Mailing Address - State:FL
Mailing Address - Zip Code:32168-6005
Mailing Address - Country:US
Mailing Address - Phone:989-372-4550
Mailing Address - Fax:
Practice Address - Street 1:1205 N DIXIE FWY
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA
Practice Address - State:FL
Practice Address - Zip Code:32168-6005
Practice Address - Country:US
Practice Address - Phone:386-423-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor