Individual
MR. BRYAN EARL WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5331 SHIRLEY AVE, JACKSONVILLE, FL 32210-3149
(904) 382-7797
Mailing address
5331 SHIRLEY AVE, JACKSONVILLE, FL 32210-3149
(904) 382-7797
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9446169
FL
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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