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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 33162-4717
(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
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
03/27/2014
Last updated
06/13/2019
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