Wheeler Wiggins, P.a. | |
4330 W Broward Blvd Suite R Plantation FL 33317-3775 | |
(305) 825-5698 | |
(305) 895-1737 |
Full Name | Wheeler Wiggins, P.a. |
---|---|
Speciality | Social Worker - Clinical |
Location | 4330 W Broward Blvd, Plantation, Florida |
Authorized Official Name and Position | Carter Tyrone Wiggins (PARTNER) |
Authorized Official Contact | 3058255698 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wheeler Wiggins, P.a. 1175 Ne 125th St Suite 205 North Miami FL 33161-5015 Ph: (305) 825-5698 | Wheeler Wiggins, P.a. 4330 W Broward Blvd Suite R Plantation FL 33317-3775 Ph: (305) 825-5698 |
NPI Number | 1669789319 |
---|---|
Provider Enumeration Date | 09/01/2010 |
Last Update Date | 09/01/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669789319 | NPI | - | NPPES |
000109300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 80292 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW4348 (Florida) | Primary |
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