Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul Wigoda, MD, PA

Organization Ambulatory Surgical Clinic/Center · NPI 1629374269

Paul Wigoda, MD, PA is an Ambulatory Surgical Clinic/Center in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1404 E Broward Blvd
Fort Lauderdale, FL 33301-2138
Phone: (954) 463-7088
Fax: (954) 463-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence ME0076810 (FL)

Record details

NPI number1629374269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Wigoda — Medical Director · (954) 463-7088
NPI enumeratedJanuary 30, 2011
Last updated in NPPESJanuary 30, 2011
Mailing address1404 E Broward Blvd, Fort Lauderdale, FL 33301-2138

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