Organization
SOUTH FLORIDA PRS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WIGODA MD (OWNER)
(954) 463-7088
Entity
Organization
Contact information
Practice address
1404 E BROWARD BLVD, FT LAUDERDALE, FL 33301-2138
(954) 463-7088
(954) 840-8254
Mailing address
1404 E BROWARD BLVD, FT LAUDERDALE, FL 33301-2138
(954) 463-7088
(954) 840-8254
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
09/11/2025
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