SOUTH FLORIDA PRS LLC NPI 1356179121

NPI Information

  • NPI: 1356179121
  • Provider Name: SOUTH FLORIDA PRS, LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 1404 E BROWARD BLVD
    FT LAUDERDALE, FL
    ZIP 33301
  • Phone: (954) 463-7088

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NPI Details

SOUTH FLORIDA PRS, LLC is a plastic surgery in Ft Lauderdale, FL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. SOUTH FLORIDA PRS, LLC NPI is 1356179121. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1404 E BROWARD BLVD
FT LAUDERDALE, FL
ZIP 33301-138
Phone: (954) 463-7088
Fax: (954) 840-8254

The provider's authorized official is Paul Wigoda .
The authorized official title is Owner and has the following contact phone number (954) 463-7088.

The enumeration date for this NPI number is 7/23/2024 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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