Individual provider · NPI-1
Dr. John R Wight, D.V.M.
Veterinarian · Orlando, FL
NPI number1619003613
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619003613
- Entity type
- Individual (NPI-1)
- Name
- Dr. John R Wight
- Credential
- D.V.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174M00000X | Veterinarian | VM6781 | FL | Yes |
Practice location
9317 Wickham WayOrlando, FL 32836-5518
Phone 407-925-3234 · Fax 407-386-3388
Mailing address
9317 Wickham WayOrlando, FL 32836-5518
Phone 407-925-3234 · Fax 407-386-3388
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