BRIGHTSIDE PEDIATRICS NPI 1376360578

NPI Information

  • NPI: 1376360578
  • Provider Name: BRIGHTSIDE PEDIATRICS
  • Classification: Clinic/Center - 261QM3000X
  • Specialization: Medically Fragile Infants and Children Day Care
  • Entity Type: Organization
  • Address: 1764 TREE BLVD STE 1
    SAINT AUGUSTINE, FL
    ZIP 32084
  • Phone: (904) 895-7337

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NPI Details

BRIGHTSIDE PEDIATRICS is a medically fragile infants and children day care clinic center in Saint Augustine, FL. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). BRIGHTSIDE PEDIATRICS NPI is 1376360578. The provider is registered as an organization entity type.

The provider's business location address is:

1764 TREE BLVD STE 1
SAINT AUGUSTINE, FL
ZIP 32084-723
Phone: (904) 895-7337
Fax: (904) 925-1365

The provider's authorized official is Jacque Dennie .
The authorized official title is Owner, Director Of Nursing and has the following contact phone number (904) 895-7337.

The enumeration date for this NPI number is 9/20/2024 and was last updated on 9/20/2024.

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
1261QM3000XClinic/CenterMedically Fragile Infants and Children Day CareYes

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: 11/21/2025

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