Organization
PAUL WIGODA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WIGODA MD (MEDICAL DIRECTOR)
(954) 463-7088
Entity
Organization
Contact information
Practice address
1404 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2138
(954) 463-7088
(954) 463-8766
Mailing address
1404 E BROWARD BLVD, FORT LAUDERDALE, FL 33301-2138
(954) 463-7088
(954) 463-8766
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ME0076810
FL
Other
Enumeration date
01/30/2011
Last updated
01/30/2011
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