Wodnicki, Henry

Wodnicki, Henry is an sole proprietor health care provider with primary practice located at 4306 Alton Rd Comprehensive Cancer Center 2Nd Floor, Miami Beach FL 33140-2840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Wodnicki, Henry can be contacted via phone (305) 674-2177.

Contact Information

Primary practice address
4306 Alton Rd Comprehensive Cancer Center 2Nd Floor Miami Beach FL 33140-2840
Fax: (305) 674-2176
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X ME41122 Florida

Profile Details

NPI number 1124010020
LBN Legal business name Wodnicki, Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Apr 10th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124010020 NPPES
Florida MEDICAID 037435100

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