Individual
ERICA WIGDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1600 S ANDREWS AVE, GRADUATE MEDICAL EDUCATION, FORT LAUDERDALE, FL 33316-2510
(305) 496-9695
Mailing address
1600 S ANDREWS AVE, GRADUATE MEDICAL EDUCATION, FORT LAUDERDALE, FL 33316-2510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
UO3906
FL
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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