Provider Demographics
NPI:1306351705
Name:CAJIGAS, WANDA
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:
Last Name:CAJIGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5572 ARNOLD PALMER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2476
Mailing Address - Country:US
Mailing Address - Phone:939-319-9650
Mailing Address - Fax:
Practice Address - Street 1:5572 ARNOLD PALMER DR APT 328
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2415
Practice Address - Country:US
Practice Address - Phone:939-319-9650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLC222909627050344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi