Active NPI
The Wig Doctor RX Florida Inc
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
National Provider Identifier
1972420917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- THE WIG DOCTOR RX FLORIDA INC
- Practice address
- 5621 Commerce St
Jacksonville, FL 32211-5257 - Phone
- (904) 480-0189
- NPI assigned
- Jul 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rande Harris
- Title
- Owner
- Phone
- (904) 480-0189
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
5621 Commerce St
Jacksonville, FL 32211-5257
Mailing address
9061 Western Way Unit 4
Jacksonville, FL 32256-0380
Phone (904) 480-0189
National Provider Directory
National Provider DirectoryLocations
5621 Commerce St
Jacksonville, FL 32211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1972420917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9061 WESTERN WAY UNIT 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560380",
"telephone_number": "904-480-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5621 COMMERCE ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322115257",
"telephone_number": "904-480-0189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WIG DOCTOR RX FLORIDA INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "RANDE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-480-0189",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- The Surgery Center of Jacksonville, LLC
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- The Thomas Hill Group Inc (Advanced Total Care Home Health Services)
- The Vein Clinic
- The Virtuous Woman Inc
- The Young Men'S Christian Association of Florida'S First Coast, Inc
- Erold Theligene
- Rachelle L Theobald, LMHC
- Briyana Alexis Theodore, OD
- Jessica Theodoridis, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.