| Cindy S Wright Do Pllc | |
|
12627 San Jose Blvd Ste 902 Jacksonville FL 32223-8645 | |
| (904) 877-0359 | |
| (904) 862-6767 |
| Full Name | Cindy S Wright Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 12627 San Jose Blvd Ste 902, Jacksonville, Florida |
| Authorized Official Name and Position | Cindy S Wright (PRESIDENT) |
| Authorized Official Contact | 9048770359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy S Wright Do Pllc 12627 San Jose Blvd Ste 902 Jacksonville FL 32223-8645 Ph: (904) 877-0359 | Cindy S Wright Do Pllc 12627 San Jose Blvd Ste 902 Jacksonville FL 32223-8645 Ph: (904) 877-0359 |
| NPI Number | 1942862206 |
|---|---|
| Provider Enumeration Date | 07/07/2019 |
| Last Update Date | 07/07/2019 |
| Medicare PECOS PAC ID | 5092149716 |
|---|---|
| Medicare Enrollment ID | O20200103002193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942862206 | NPI | - | NPPES |
| 013957100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cindy Stamper Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326062183 PECOS PAC ID: 4183694631 Enrollment ID: I20150212001189 |
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