Wright, Avery Colleen

Wright, Avery Colleen is an individual health care provider with primary practice located at 92 W Miller St , Orlando FL 32806-2032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Wright, Avery Colleen can be contacted via phone (321) 841-8588.

Contact Information

Primary practice address
92 W Miller St Orlando FL 32806-2032
Fax: (321) 841-8560
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X OS16351 Florida

Profile Details

NPI number 1497010813
LBN Legal business name Wright, Avery Colleen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Oct 10th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497010813 NPPES
Florida MEDICAID 104068000

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