| Carter T Wiggins & Associates Pa | |
|
12955 Biscayne Blvd Ste 204 North Miami FL 33181-2021 | |
| (305) 895-3307 | |
| (305) 895-1737 |
| Full Name | Carter T Wiggins & Associates Pa |
|---|---|
| Speciality | Social Worker |
| Location | 12955 Biscayne Blvd Ste 204, North Miami, Florida |
| Authorized Official Name and Position | Carter T Wiggins (OWNER) |
| Authorized Official Contact | 3058255698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carter T Wiggins & Associates Pa 12955 Biscayne Blvd Ste 204 North Miami FL 33181-2021 Ph: (305) 895-3307 | Carter T Wiggins & Associates Pa 12955 Biscayne Blvd Ste 204 North Miami FL 33181-2021 Ph: (305) 895-3307 |
| NPI Number | 1689644437 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Medicare PECOS PAC ID | 5597706580 |
|---|---|
| Medicare Enrollment ID | O20050519000875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689644437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW4348 (Florida) | Primary |
| Provider Name | Carter T Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952371700 PECOS PAC ID: 3577504562 Enrollment ID: I20050520000040 |
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