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Organization

MEDICAL WIG LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE CLARK CRANIAL PROSTHESIS (CEO)
(800) 342-9913
Entity
Organization

Contact information

Practice address
2424 W OAKLAND PARK BLVD STE 109, OAKLAND PARK, FL 33311-1414
(800) 342-9913
Mailing address
4301 S FLAMINGO RD STE 106, DAVIE, FL 33330-1902
(800) 342-9913

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/20/2024
Last updated
11/20/2024
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