Basic Information
| Provider Information | |||||||||
| NPI: | 1659301034 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HERNANDEZ | ||||||||
| FirstName: | WRIGHT | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 ZINNIAS CT | ||||||||
| Address2: | |||||||||
| City: | HOMOSASSA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344465628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3525037468 | ||||||||
| FaxNumber: | 3525037468 | ||||||||
| Practice Location | |||||||||
| Address1: | 7945 S SUNCOAST BLVD STE B | ||||||||
| Address2: | |||||||||
| City: | HOMOSASSA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344465005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523826111 | ||||||||
| FaxNumber: | 3523826112 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/03/2006 | ||||||||
| LastUpdateDate: | 10/03/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | ACN367 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.