Individual
KEITH WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 FLORIDA CENTRAL PKWY, STE #1028, LONGWOOD, FL 32750-7651
(407) 774-2284
Mailing address
PO BOX 160, SANFORD, FL 32772-0160
(321) 696-2216
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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