Organization
CHARLOTTE WIGLE, ARNP-C, P.A.
Active
Organization
CHARLOTTE WIGLE, ARNP-C, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE A. WIGLE M.S., ARNP-C (PRESIDENT)
(352) 589-9661
Entity
Organization
Contact information
Practice address
720 N BAY ST STE 11, EUSTIS, FL 32726-2964
(352) 589-9661
(352) 589-5983
Mailing address
35223 HARBOR SHORES RD, LEESBURG, FL 34788-2927
(352) 589-9661
(352) 589-5983
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2834222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303668500
—
FL
Enumeration date
03/04/2006
Last updated
12/29/2009
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