SYDNEY MAURICE WIGGS (NPI# 1124548623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124548623 |
| Entity Type | Individual |
| Full Name | SYDNEY MAURICE WIGGS |
| Practice Address |
1320 Culver Dr Ne Ste 3 Palm Bay FL 32907-1104 |
| Mailing Address |
1917 Woodhaven Cir Apt 99 Rockledge FL 32955-8012 |
| Practice Telephone | 6783582738 |
| Mailing Telephone | 6783582738 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1320 CULVER DR NE STE 3 |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588193395 | Shraddha Patel | Technician, Other | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-06-06 |
| 1851919724 | Jordin Nichole Schanck | Behavior Technician | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2020-07-08 |
| 1588299689 | Lanyesha Milfort | Behavior Technician | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2020-03-09 |
| 1134751589 | Deborah Jozie Mulford | Behavior Technician | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2020-02-04 |
| 1073162665 | Elizabeth Jacquelyn Edelen | Behavior Technician | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2019-09-06 |
| 1417455627 | Lynette Breault | Behavior Technician | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2018-01-23 |
| 1225542533 | Carla Estele Graham | Behavior Technician | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-11-22 |
| 1063925147 | Rhedonda Lee Humpert | Behavior Technician | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-11-10 |
| 1184135311 | Gabrielle Blanchard | Technician, Other | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-10-16 |
| 1073024204 | Amanda Streb | Technician, Other | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649791872 | Stefanie Ann Hills | Technician, Other | 2810 Gabrysh Ave Se, Palm Bay, FL 32909-8250 | 2017-06-28 |
| 1588193395 | Shraddha Patel | Technician, Other | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-06-06 |
| 1215489901 | Giancarlo Ojeda Sanjurjo | Technician, Other | 2180 Julian Ave Ne, Palm Bay, FL 32905-4020 | 2016-10-27 |
| 1184135311 | Gabrielle Blanchard | Technician, Other | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-10-16 |
| 1073024204 | Amanda Streb | Technician, Other | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-10-16 |
| 1992228092 | Patricia Anne Britton | Technician, Other | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-07-20 |
| 1457881187 | Joy L Mcdonald | Technician, Other | 1320 Culver Dr Ne Ste 3, Palm Bay, FL 32907-1104 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340479 | Jeanine Davis | Technician, Other | 3540 Nw 8th St, Lauderhill, FL 33311-6416 | 2020-09-14 |
| 1376158188 | Michael Blake Atlas | Technician, Other | 1242 Ginger Cir, Weston, FL 33326-3627 | 2020-09-09 |
| 1104439579 | Amaury Li | Technician, Other | 265 Highgate Park Blvd, Davenport, FL 33897-7732 | 2020-08-26 |
| 1831709864 | Odayme Sanchez | Technician, Other | 11520 Sw 57th Ter, Miami, FL 33173-1012 | 2020-08-04 |
| 1700496106 | Ilia De Los Angeles Diaz Moure | Technician, Other | 4705 Nw 7th St Apt 305-7, Miami, FL 33126-2259 | 2020-07-31 |
| 1619585932 | Skyler Mebane | Technician, Other | 1818 S Australian Ave Ste 240, West Palm Beach, FL 33409-6452 | 2020-07-22 |
| 1568092112 | Charity Marie Majors | Technician, Other | 714 Venetian Way, Panama City, FL 32405-7502 | 2020-01-23 |
| 1750911285 | Denisse Ramirez | Technician, Other | 1818 S. Australian Ave, Suite 420, West Palm Beach, FL 33409 | 2020-01-23 |
| 1225675226 | Mended Minds Corp. | Technician, Other | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-09 |
| 1558906206 | Jennifer Cornelius | Technician, Other | 26 Sw 7th Ave, Dania, FL 33004-3215 | 2019-11-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.