MEDICARE: MARTINA WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	106S00000X	Behavior Technician
3	372500000X	Chore Provider
4	376J00000X	Homemaker
5	372600000X	Adult Companion
6	3747A0650X	Attendant Care Provider
7	3747P1801X	Personal Care Attendant
8	376K00000X	Nurse's Aide
9	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1245605591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTINA WRIGHT

Provider Business Mailing Address
First Line	:	11019 LAGUNA BAY DR APT 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32821-5557
Country	:	US
Telephone Number	:	352-552-7971
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 4TH ST N STE 300
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-4399
Country	:	US
Telephone Number	:	352-552-7971
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2015
Last Update Date	:	04/09/2025

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Directions to “ MARTINA WRIGHT ” Practice Location

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