Organization Active NPI

RBS Wig Studio Corp

  • Prosthetic/Orthotic Supplier
  • Orlando, FL
National Provider Identifier
1265367478
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
RBS WIG STUDIO CORP
Practice address
4767 New Broad St
Orlando, FL 32814-6405
Phone
(321) 282-1479
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shantan Adetutu
Title
Ceo
Phone
(352) 296-8440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4767 New Broad St
Orlando, FL 32814-6405

Mailing address

12472 Lake Underhill Rd Ste 163
Orlando, FL 32828-7144
Phone (352) 296-8440

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1265367478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12472 LAKE UNDERHILL RD STE 163",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287144",
            "telephone_number": "352-296-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146405",
            "telephone_number": "321-282-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBS WIG STUDIO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "ADETUTU",
        "authorized_official_first_name": "SHANTAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-296-8440"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.