NPI 1386456267

Wig Doctor Rx INC.

Organisation Prosthetist Jacksonville, FL

Practice location

Address: 1839 Lane Ave S STE 101, Jacksonville, FL 32210-1260
Phone: (904) 775-3071
Mailing address: 2600 Art Museum Dr APT 176, Jacksonville, FL 32207-4849

Authorised official

Name: Rande Harris
Title: Owner
Phone: (904) 430-2420

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1386456267
Entity type: Organization
NPI issued: 27 Jan 2025
Record last updated: 27 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.