PAUL WIGODA MD PA NPI 1629374269

NPI Information

PAUL WIGODA, MD, PA is an ambulatory surgical clinic center in Fort Lauderdale, FL. PAUL WIGODA, MD, PA NPI is 1629374269. The provider is registered as an organization entity type.

The provider's business location address is:

1404 E BROWARD BLVD
FORT LAUDERDALE, FL
ZIP 33301-138
Phone: (954) 463-7088
Fax: (954) 463-8766

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

The enumeration date for this NPI number is 1/30/2011 and was last updated on 1/30/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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