PAUL WIGODA, MD, PA
NPI 1629374269
Clinic/Center - Ambulatory Surgical in Fort Lauderdale, FL

Active since January 30, 2011
1404 E BROWARD BLVD, FORT LAUDERDALE, FL 33301(954) 463-7088(954) 463-8766 Get Directions Write a Review

NPPES record last updated: January 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Wigoda, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL WIGODA, MD, PA (NPI 1629374269) is a healthcare organization registered as an ambulatory surgical in Fort Lauderdale, Florida and active in the NPI registry since January 2011. The organization lists Paul Wigoda, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1629374269
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePAUL WIGODA, MD, PA
Location Address1404 E BROWARD BLVDFort Lauderdale, FL 33301-2138
Mailing Address1404 E Broward BlvdFort Lauderdale, FL 33301-2138 · (954) 463-7088 · Fax (954) 463-8766
Fax(954) 463-8766
Organization SubpartNo
Authorized OfficialPaul WigodaMedical Director · (954) 463-7088
Enumeration DateJanuary 30, 2011
NPI 1629374269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in FL · ME0076810
1404 E BROWARD BLVD, Fort Lauderdale, FL 33301

Other Identifiers 1

Medicare UPINH00527FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
1404 E BROWARD BLVD
FORT LAUDERDALE, FL 33301
Plastic Surgery
1404 E BROWARD BLVD
FT LAUDERDALE, FL 33301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Wigoda, MD, PA's NPI number?

The NPI number for Paul Wigoda, MD, PA is 1629374269. It was assigned to this organization in the NPPES registry on January 30, 2011.

Where is Paul Wigoda, MD, PA located?

Paul Wigoda, MD, PA is located at 1404 E Broward Blvd, Fort Lauderdale, FL 33301. The listed phone number is (954) 463-7088.

What is Paul Wigoda, MD, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Paul Wigoda, MD, PA was last updated on January 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.