Individual
DR. HENRY WODNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4306 ALTON RD, COMPREHENSIVE CANCER CENTER 2ND FLOOR, MIAMI BEACH, FL 33140-2840
(305) 674-2177
(305) 674-2176
Mailing address
4306 ALTON RD, COMPREHENSIVE CANCER CENTER 2ND FLOOR, MIAMI BEACH, FL 33140-2840
(305) 674-2177
(305) 674-2176
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME41122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037435100
—
FL
Enumeration date
08/17/2005
Last updated
04/10/2013
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