Organization
RBS WIG STUDIO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAN ADETUTU (CEO)
(352) 296-8440
Entity
Organization
Contact information
Practice address
4767 NEW BROAD ST, ORLANDO, FL 32814-6405
(321) 282-1479
Mailing address
12472 LAKE UNDERHILL RD STE 163, ORLANDO, FL 32828-7144
(352) 296-8440
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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