Provider Demographics
NPI:1487993382
Name:WOLF, E DAN (DVM)
Entity type:Individual
Prefix:
First Name:E
Middle Name:DAN
Last Name:WOLF
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5406 HOOVER BLVD
Mailing Address - Street 2:STE 20
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5330
Mailing Address - Country:US
Mailing Address - Phone:813-881-9799
Mailing Address - Fax:813-881-9099
Practice Address - Street 1:5406 HOOVER BLVD
Practice Address - Street 2:STE 20
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5330
Practice Address - Country:US
Practice Address - Phone:813-881-9799
Practice Address - Fax:813-881-9099
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM-2781174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian