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1366460297 NPI number — THE PRIMARY CARE CENTER OF LAKE CITY RICHARD L. WRIGHT JR MD, PA

NPI Number: 1366460297
Health Care Provider/Practitioner: THE PRIMARY CARE CENTER OF LAKE CITY RICHARD L. WRIGHT JR MD, PA

Information about “1366460297” NPI (THE PRIMARY CARE CENTER OF LAKE CITY RICHARD L. WRIGHT JR MD, PA) exists in 1366460297 in HTML format HTML  |  1366460297 in plain Text format TXT  |  1366460297 in PDF (Portable Document Format) PDF  |  1366460297 in an XML format XML  formats.

NPI Number : 1366460297 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366460297",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE PRIMARY CARE CENTER OF LAKE CITY RICHARD L. WRIGHT JR MD, PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "221 SW STONEGATE TER STE 101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE CITY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32024-3463",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "386-755-0421",
    "MailingAddressFaxNumber": "877-698-9577",
    "FirstLinePracticeLocationAddress": "221 SW STONEGATE TER STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKE CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32024-3463",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-755-0421",
    "PracticeLocationAddressFaxNumber": "386-487-1234",
    "EnumerationDate": "07/18/2006",
    "LastUpdateDate": "04/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WRIGHT",
    "AuthorizedOfficialFirstName": "SARA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICE MANAGER/CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "386-755-0421",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208D00000X",
        "TaxonomyName": "General Practice Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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