Organization Active NPI

WNG LLC

  • Customized Equipment (DME)
  • Jacksonville, FL
National Provider Identifier
1447586466
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
WNG LLC
Practice address
7667 W Beaver St Lot 5
Jacksonville, FL 32220-3601
Phone
(904) 553-3744
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Mrs. Doris Gilliam
Title
Managing Member
Phone
(904) 553-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X FL Primary

Addresses

Primary practice location

7667 W Beaver St Lot 5
Jacksonville, FL 32220-3601

Mailing address

7667 W Beaver St Lot 5
Jacksonville, FL 32220-3601
Phone (904) 553-3744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1447586466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7667 W BEAVER ST LOT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322203601",
            "telephone_number": "904-553-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7667 W BEAVER ST LOT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322203601",
            "telephone_number": "904-553-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-553-3744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.