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NPI Code Detail

MEDICARE: DUANE A. WIGGINS M.D.

MEDICARE: DUANE A. WIGGINS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianME140723FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3180044284OTHERNMRRB MEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NM009642OTHERNMBC BS OF NM
2EOPO9OTHERFLBCBS OF FL
4LG393OTHERFLPTAN
5LG391OTHERFLPTAN

General Provider Information

NPI Number : 1295720761
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUANE A. WIGGINS M.D.
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35246-8575
Country : US
Telephone Number : 864-359-1308
Fax Number : 239-496-3939
Provider Business Practice Location Address
First Line : 6091 S POINTE BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4899
Country : US
Telephone Number : 239-466-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 06/03/2026

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