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Individual

JACOB WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8745 N WICKHAM RD, MELBOURNE, FL 32940-5997
(321) 434-9000
Mailing address
343 MARLIN PL, MELBOURNE BEACH, FL 32951-2921
(321) 745-9793

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME172512
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN35268
FL

Other

Enumeration date
06/28/2022
Last updated
06/07/2025
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