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BRIGHT LIGHT PEDIATRICS PLLC NPI 1710460704


NPI Information

NPI: 1710460704
Provider Name: BRIGHT LIGHT PEDIATRICS, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
601 E SAMPLE RD STE 103
POMPANO BEACH, FL
ZIP 33064
Phone: (612) 643-0092
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BRIGHT LIGHT PEDIATRICS, PLLC is a pediatrics in Pompano Beach, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BRIGHT LIGHT PEDIATRICS, PLLC NPI is 1710460704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 E SAMPLE RD STE 103
POMPANO BEACH, FL
ZIP 33064-443
Phone: (612) 643-0092

The provider's authorized official is Thesalee N Randon .
The authorized official title is Owner and has the following contact phone number (612) 643-0092.

The enumeration date for this NPI number is 9/14/2018 and was last updated on 9/14/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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