Organization
WIG DOCTOR RX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDE HARRIS (OWNER)
(904) 430-2420
Entity
Organization
Contact information
Practice address
1839 LANE AVE S STE 101, JACKSONVILLE, FL 32210-1260
(904) 775-3071
Mailing address
2600 ART MUSEUM DR APT 176, JACKSONVILLE, FL 32207-4849
(904) 430-2420
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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