Individual
GENE MARTIN WIGGS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
304 E PINE ST # 5280, LAKELAND, FL 33801-4969
(863) 248-2300
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS17740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114116100
—
FL
01
—
IDDWQ
BCBS
FL
Enumeration date
07/08/2019
Last updated
12/07/2025
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