PAUL WIGODA, MD, PA
Ambulatory Health at Broward Blvd, Fort Lauderdale, FL

License number
Florida ME0076810
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. PAUL WIGODA MD
Title: MEDICAL DIRECTOR
Phone: (954) 463-7088
Address
Address
1404 E Broward Blvd, Fort Lauderdale, FL 33301
National Provider ID: 1629374269
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Paul Wigoda, M.D., PA

1404 E Broward Blvd, Fort Lauderdale, FL 33301

Registration:
Apr 12, 2000
State ID:
P00000037075
Business type:
Domestic for Profit Corporation
President, Director:
Paul Wigoda (President, Director)

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