Individual
DUANE A. WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6091 S POINTE BLVD, FORT MYERS, FL 33919-4899
(239) 466-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME140723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180044284
RRB MEDICARE RAILROAD
NM
01
—
EOPO9
BCBS OF FL
FL
01
—
LG391
PTAN
FL
01
—
LG393
PTAN
FL
01
—
NM009642
BC BS OF NM
NM
Enumeration date
09/12/2005
Last updated
07/22/2025
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