Healthcare Provider Details

I. General information

NPI: 1467276931
Provider Name (Legal Business Name): CARAS-WIGGINS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11246 ALUMNI WAY
JACKSONVILLE FL
32246-6688
US

IV. Provider business mailing address

11246 ALUMNI WAY
JACKSONVILLE FL
32246-6688
US

V. Phone/Fax

Practice location:
  • Phone: 904-210-4430
  • Fax:
Mailing address:
  • Phone: 904-454-3964
  • Fax: 904-800-1444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANELLE WIGGINS
Title or Position: OWNER/CEO
Credential:
Phone: 904-210-4430