Provider Demographics
NPI:1578674990
Name:WRIGHT, ALENE JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALENE
Middle Name:JEAN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9332 STATE ROAD 54 STE 400
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1810
Mailing Address - Country:US
Mailing Address - Phone:727-372-4779
Mailing Address - Fax:727-372-4559
Practice Address - Street 1:9332 STATE ROAD 54 STE 400
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1810
Practice Address - Country:US
Practice Address - Phone:727-372-4779
Practice Address - Fax:727-372-4559
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22789208600000X
FLME102104208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL318091OtherAVMED
FLP00617946OtherRAILROAD MEDICARE
FL48540OtherBCBS OF FLORIDA
FL2549256OtherUNITED HEALTHCARE
FL000163900Medicaid
FL5299834OtherCIGNA HEALTHCARE
FL2549256OtherUNITED HEALTHCARE
FL318091OtherAVMED
FLP00617946OtherRAILROAD MEDICARE
FLI32658Medicare UPIN