Individual
ELIZABETH B WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-9079
(352) 374-6103
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-9079
(352) 374-6103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3164
FL
363AM0700X
Medical Physician Assistant
0003164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292728400
—
FL
Enumeration date
04/21/2006
Last updated
11/22/2011
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