# WIGLEY FOOT AND ANKLE, LLC

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

## Provider details

- **NPI number:** 1619394608
- **Authorized official:** DR. STEPHEN WIGLEY IV DPM (OWNER)
- **Authorized official phone:** (305) 895-9528

## Contact information

- **Practice address:** 1595 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4717
- **Practice address phone:** (305) 895-9528
- **Practice address fax:** (786) 332-3242
- **Mailing address:** 1595 NE 163RD ST, NORTH MIAMI BEACH, FL 33162-4717
- **Mailing address phone:** (305) 895-9528
- **Mailing address fax:** (786) 332-3242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 03/27/2014
- **Last updated:** 06/13/2019
