Individual
MARWAN WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D90977
MD
207L00000X
Anesthesiology Physician
ME150872
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2012
Last updated
01/12/2024
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