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Organization
WIGLEY FOOT AND ANKLE, LLC
Active
Organization
WIGLEY FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WIGLEY IV DPM (OWNER)
(305) 895-9528
Entity
Organization
Contact information
Practice address
1595 NE 163RD ST, NORTH MIAMI BEACH, FL 33162
(305) 895-9528
(786) 332-3242
Mailing address
1595 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4717
(305) 895-9528
(786) 332-3242
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3625
FL
Other
Enumeration date
08/13/2015
Last updated
06/13/2019
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