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Organization
THE WIG DOCTOR RX FLORIDA INC
Active
Organization
THE WIG DOCTOR RX FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDE HARRIS (OWNER)
(904) 480-0189
Entity
Organization
Contact information
Practice address
5621 COMMERCE ST, JACKSONVILLE, FL 32211-5257
(904) 480-0189
Mailing address
9061 WESTERN WAY UNIT 4, JACKSONVILLE, FL 32256-0380
(904) 480-0189
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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