MEDICARE: DR. PAUL WAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	ME0041117	FL

General Provider Information

NPI Number	:	1093714891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL WAND M.D.

Provider Business Mailing Address
First Line	:	2232 N UNIVERSITY DR
Second Line	:	SUITE A
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6184
Country	:	US
Telephone Number	:	954-344-9722
Fax Number	:	954-741-2126

Provider Business Practice Location Address
First Line	:	2232 N UNIVERSITY DR
Second Line	:	SUITE A
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6184
Country	:	US
Telephone Number	:	954-344-9722
Fax Number	:	954-741-2126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	05/07/2013

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