Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Wig Reviver

Organization Customized Equipment (DME) · NPI 1962112474

The Wig Reviver is a Customized Equipment (DME) in Largo, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

503 36th St SE Apt C
Largo, FL 33771-2716
Phone: (980) 616-0374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1962112474
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Elliott — Owner · (980) 616-0374
Other names The Wig Reviver
NPI enumeratedNovember 25, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022
Mailing address503 36th St Se Apt C, Largo, FL 33771-2716

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