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Individual

DR. JIBRI M WIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15255 MAX LEGGETT PKWY, JACKSONVILLE, FL 32218-7273
(904) 383-1000
(904) 383-1412
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 383-1000
(904) 383-1412

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
00025592
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME125439
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015845600
FL
Enumeration date
12/23/2006
Last updated
12/04/2015
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