Individual
DR. JASON CHRISTOPHER WIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 ALTON RD, DEPARTMENT OF ANESTHESIOLOGY, MIAMI BEACH, FL 33140-2948
(305) 674-2345
(954) 964-6084
Mailing address
PO BOX 816759, HOLLYWOOD, FL 33081-0759
(305) 674-1233
(954) 964-6084
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME115210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008862300
—
FL
01
—
14QN9
FLORIDA BLUE SHIELD
FL
Enumeration date
04/09/2009
Last updated
07/11/2013
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