# MEDICAL WIG LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427873975
- **Authorized official:** JULIE CLARK CRANIAL PROSTHESIS (CEO)
- **Authorized official phone:** (800) 342-9913

## Contact information

- **Practice address:** 2424 W OAKLAND PARK BLVD STE 109, OAKLAND PARK, FL 33311-1414
- **Practice address phone:** (800) 342-9913
- **Mailing address:** 4301 S FLAMINGO RD STE 106, DAVIE, FL 33330-1902
- **Mailing address phone:** (800) 342-9913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 11/20/2024