Organization
DR. STEVEN E. WIGDOR, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WIGDOR OD (AUTHORIZED OFFICIAL)
(305) 931-0225
Entity
Organization
Contact information
Practice address
17941 BISCAYNE BLVD, AVENTURA, FL 33160-2502
(305) 931-0225
(305) 931-0238
Mailing address
17941 BISCAYNE BLVD, AVENTURA, FL 33160-2502
(305) 931-0225
(305) 931-0238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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