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BRIGHT DIALYSIS LLC NPI 1316179062


NPI Information

NPI: 1316179062
Provider Name: BRIGHT DIALYSIS LLC

Doing Business As: BRIGHT DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2000 HARTMAN RD
FORT PIERCE, FL
ZIP 34947
Phone: (772) 467-1117
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BRIGHT DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Fort Pierce, FL. BRIGHT DIALYSIS LLC NPI is 1316179062. The provider is registered as an organization entity type.
The provider Is Doing Business As Bright Dialysis.

The provider's business location address is:

2000 HARTMAN RD
FORT PIERCE, FL
ZIP 34947-412
Phone: (772) 467-1117
Fax: (772) 595-9340

The provider's authorized official is Sue E Rottura .
The authorized official title is Manager and has the following contact phone number (561) 613-8830.

The enumeration date for this NPI number is 8/13/2009 and was last updated on 1/6/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001826000MEDICAIDFLORIDA
2102754MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

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