Organization Active NPI

Paul B Wizman MD PA

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1669790390
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME70211 Issued in FL
Legal business name
PAUL B WIZMAN MD PA
Practice address
9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428
Phone
(954) 969-1355
Fax
(954) 969-1232
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Dr. Paul B Wizman MD, MD
Title
President
Phone
(954) 802-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME70211 FL Primary

Addresses

Primary practice location

9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428

Mailing address

9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428
Phone (954) 969-1355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150929001154 FL Part B Supplier - Clinic/Group Practice 6901946540 Receives reassigned benefits from 2 practitioners
Practice locations: Margate, FL

National Provider Directory

National Provider Directory

Locations

5800 Colonial Dr
Ste 108
Margate, FL 33063
Phone (954) 969-1355

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1669790390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N",
            "address_2": "SUITE 235",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "954-969-1355",
            "fax_number": "954-969-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N",
            "address_2": "SUITE 235",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "954-969-1355",
            "fax_number": "954-969-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B WIZMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "WIZMAN MD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-802-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME70211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.