Organization
THE WIG DISPENSARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMIN BADIE (CEO)
(407) 335-2243
Entity
Organization
Contact information
Practice address
1070 MONTGOMERY RD, STE 2351, ALTAMONTE SPRINGS, FL 32714-7420
(407) 619-6827
(407) 906-9364
Mailing address
1070 MONTGOMERY RD # 2351, ALTAMONTE SPRINGS, FL 32714-7420
(407) 619-6827
(407) 906-9364
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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