Henry Wodnicki, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HENRY WODNICKI, M.D., P.A.

Practice address

3702 Washington St
Suite 205
Hollywood, FL 33021-8282

Phone

(954) 983-4420

Fax

(954) 983-4440

NPI assigned

Jan 19, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Henry Wodnicki, MD

Title

President

Phone

(954) 983-4420

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083767438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST",
            "address_2": "SUITE 205",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218282",
            "telephone_number": "954-983-4420",
            "fax_number": "954-983-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST",
            "address_2": "SUITE 205",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218282",
            "telephone_number": "954-983-4420",
            "fax_number": "954-983-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY WODNICKI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WODNICKI",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-983-4420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryanne Elizabeth Henderson, R.D., LD/N
• Valerie C Henke, RN, RNFA
• Bert J Henkel, DPM
• Suzanne Marie Hennessey, LCSW
• Henry Alexander Spratt MD, PA
• Horace Henry
• Kettelie Henry, ARNP
• Aquinnah Pierre Herard
• Glenda Herbello, PA-C
• Herman a. Nadal MD PA

• Specialist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.