Individual
AMANDA MARIE WIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(855) 979-5700
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107038
FL
Other
Enumeration date
01/17/2013
Last updated
09/01/2021
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