Individual
AVERY COLLEEN WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-8588
(321) 841-8560
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-8588
(321) 841-8560
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
OS16351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104068000
—
FL
Enumeration date
07/11/2012
Last updated
10/10/2019
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