Wiggins, Matthew

Wiggins, Matthew is an sole proprietor health care provider with primary practice located at 338 Canna Dr , Davenport FL 33897-3821. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Wiggins, Matthew can be contacted via phone (407) 569-6960.

Contact Information

Primary practice address
338 Canna Dr Davenport FL 33897-3821
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SS1176 Florida

Profile Details

NPI number 1861850208
LBN Legal business name Wiggins, Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2016
Last updated Jan 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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