Provider Demographics
NPI:1255128658
Name:WOLFF, SANDY
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:WOLFF
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4973 MANCHIA DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-4901
Mailing Address - Country:US
Mailing Address - Phone:954-254-8420
Mailing Address - Fax:
Practice Address - Street 1:14701 CUMBERLAND DR APT 105
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1324
Practice Address - Country:US
Practice Address - Phone:561-706-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide