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BRIGHTSTART PEDIATRICS LLC NPI 1396911020


NPI Information

NPI: 1396911020
Provider Name: BRIGHTSTART PEDIATRICS LLC

Doing Business As: BRIGHTSTART PEDIATRICS

Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

Address:
1133 W AIRPORT BLVD
SANFORD, FL
ZIP 32773
Phone: (407) 321-9570
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BRIGHTSTART PEDIATRICS LLC is a nursing care and pediatric skilled nursing facility in Sanford, FL. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. BRIGHTSTART PEDIATRICS LLC NPI is 1396911020. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightstart Pediatrics.

The provider's business location address is:

1133 W AIRPORT BLVD
SANFORD, FL
ZIP 32773-972
Phone: (407) 321-9570

The provider's authorized official is Linda Catherine Brown .
The authorized official title is Managing Member and has the following contact phone number (407) 321-9570.

The enumeration date for this NPI number is 5/2/2008 and was last updated on 5/2/2008.


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
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric60080984FLORIDAYes

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
1240016201MEDICAIDFLORIDA

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: 4/28/2024

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