Healthcare Provider Details

I. General information

NPI: 1316500366
Provider Name (Legal Business Name): MS. DESTINY PRATT WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SW 27TH ST
OCALA FL
34474-3309
US

IV. Provider business mailing address

3400 SW 27TH ST
OCALA FL
34474-3309
US

V. Phone/Fax

Practice location:
  • Phone: 904-302-1154
  • Fax:
Mailing address:
  • Phone: 904-302-1154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: