Healthcare Provider Details

I. General information

NPI: 1982821849
Provider Name (Legal Business Name): ANGELIA COLLINS WRIGHT RD, CSP, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGEL C WRIGHT RD, CSP, LDN

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 6TH ST S DEPT OF NUTRITIONAL SERVICES
ST PETERSBURG FL
33701-4816
US

IV. Provider business mailing address

918 KINGSCOTE CT
SAFETY HARBOR FL
34695-5611
US

V. Phone/Fax

Practice location:
  • Phone: 727-898-7451
  • Fax: 727-892-4399
Mailing address:
  • Phone: 727-725-7743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND 3236
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberND 3236
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: