Individual
JERROD D WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4009 NW 1ST PL, DEERFIELD BEACH, FL 33442-8011
(954) 268-7553
Mailing address
4009 NW 1ST PL, DEERFIELD BEACH, FL 33442-8011
(954) 268-7553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W623424870240
PRIVATE INSURANCE
FL
Enumeration date
08/31/2018
Last updated
08/31/2018
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