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Organization
WRIGHT MEDICAL GROUP INC
Active
Organization
WRIGHT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA COX MD (MD/OWNER)
(941) 457-0071
Entity
Organization
Contact information
Practice address
4055 TAMIAMI TRL, STE 23, PORT CHARLOTTE, FL 33952-9212
(941) 457-0071
(941) 624-6193
Mailing address
4055 TAMIAMI TRL, STE 23, PORT CHARLOTTE, FL 33952-9212
(941) 457-0071
(941) 624-6193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME80723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME80723
STATE LICENSE NUMBER
FL
Enumeration date
12/07/2010
Last updated
12/07/2010
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