MEDICARE: BRITTANY WRIGHT BS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	23-1390618	FL

General Provider Information

NPI Number	:	1942640727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY WRIGHT BS

Provider Business Mailing Address
First Line	:	101 FOREST CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-6247
Country	:	US
Telephone Number	:	407-473-8487
Fax Number	:	866-936-2963

Provider Business Practice Location Address
First Line	:	5749 WESTGATE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-5040
Country	:	US
Telephone Number	:	321-441-8618
Fax Number	:

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

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	06/26/2013

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