Dale C Wright PA-C

NPI 1891759957

Information of Dale C Wright PA-C

The NPI 1891759957 is an Individual type. NPI No 1891759957 belongs to Dale C Wright. Dale C Wright PA-C specializes in Massage Therapist. He is practising at 1611 Nw 12th Ave, Miami, Florida 33136. You can also contact him via phone number (305) 585-1111.

Practice address located

  • 1611 Nw 12th Ave
  • Miami, Florida 33136
  • (305) 585-1111
  • (305) 585-1111

Mailling address located

  • 1500 Nw 12 Ave
  • Miami, Florida 33136
  • (305) 243-4664
  • (305) 243-9927
Dale C Wright PA-C is PECOS enrolled.
NPI No 1891759957
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No225700000XMassage TherapistMA31053Florida
Yes363AM0700XMedicalPA9102306Florida
Identifier for this provider
StateIdentifierTypeIssuer
FL2917696-00Medicaidn/a
FLQ08619Medicare UPINn/a
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