Individual
DR. STANLEY L WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1261 VISCAYA PKWY STE 101, CAPE CORAL, FL 33990-3252
(239) 573-7337
(239) 574-5883
Mailing address
12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
(239) 275-5522
(239) 275-4464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME91060
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013683B
HUMANA
FL
05
—
270355600
—
FL
01
—
272228
STAYWELL
FL
01
—
294917
AVMED
FL
01
—
48377
BC/BS OF FLORIDA
FL
Enumeration date
11/15/2005
Last updated
08/21/2020
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