Individual
DR. STANLEY L WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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