Provider Demographics
NPI:1497959092
Name:WRIGHT, CAMYSHA H (MD)
Entity Type:Individual
Prefix:DR
First Name:CAMYSHA
Middle Name:H
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NW 82 AVE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1856
Mailing Address - Country:US
Mailing Address - Phone:954-368-8519
Mailing Address - Fax:954-716-6551
Practice Address - Street 1:201 NW 82ND AVE
Practice Address - Street 2:SUITE 404
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1856
Practice Address - Country:US
Practice Address - Phone:954-368-8519
Practice Address - Fax:954-716-6551
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP2-0023515207Y00000X
FLME 104723207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME104723OtherMEDICAL LICENSE
884129186OtherMYUTMB 884129186-COMMERCIAL NUMBER