OrganizationActive
Paul Wigoda, MD, PA
NPI 1629374269 · Ambulatory Surgical Clinic/Center · Fort Lauderdale, FL
Provider details
- NPI number
- 1629374269
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Wigoda, Medical Director(954) 463-7088
- License
- ME0076810 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1404 E Broward Blvd
Fort Lauderdale, FL 33301-2138
Phone: (954) 463-7088
Fax: (954) 463-8766
Street-level locationGet directions
Mailing address
1404 E Broward Blvd
Fort Lauderdale, FL 33301-2138
Registry dates
- Enumerated
- 2011-01-30
- Last updated
- 2011-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.