Organization Active NPI

Paul H Wand Mdpa

  • Medical Specialty Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1811059009
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME 0041117 Issued in FL
Legal business name
PAUL H WAND MDPA
Practice address
2855 N University Dr
Ste 210
Coral Springs, FL 33065-1405
Phone
(954) 344-9772
Fax
(954) 344-9760
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Paul Henry Wand, M.D
Title
President
Phone
(954) 344-9772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME 0041117 FL Primary

Addresses

Primary practice location

2855 N University Dr
Ste 210
Coral Springs, FL 33065-1405

Mailing address

2855 N University Dr
Ste 210
Coral Springs, FL 33065-1405
Phone (954) 344-9772

National Provider Directory

National Provider Directory

Locations

5300 W Hillsboro Blvd
Ste 103A
Coconut Creek, FL 33073
Phone (954) 344-9772

2232 N University Dr
#A
Coral Springs, FL 33071
Phone (954) 344-9722

1490 W 49th Pl
Ste 203
Hialeah, FL 33012
Phone (305) 821-5119

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1811059009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR",
            "address_2": "STE 210",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651405",
            "telephone_number": "954-344-9772",
            "fax_number": "954-344-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N UNIVERSITY DR",
            "address_2": "STE 210",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330651405",
            "telephone_number": "954-344-9772",
            "fax_number": "954-344-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL H WAND MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "WAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-344-9772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME 0041117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.