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Organization
BRIGHTSTART PEDIATRICS LLC
Active
Organization
BRIGHTSTART PEDIATRICS LLC
Active
Other names
BrightStart Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA CATHERINE BROWN (MANAGING MEMBER)
(407) 321-9570
Entity
Organization
Contact information
Practice address
1133 W AIRPORT BLVD, SANFORD, FL 32773-4972
(407) 321-9570
Mailing address
1133 W AIRPORT BLVD, SANFORD, FL 32773-4972
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT22993
FL
225X00000X
Occupational Therapist
OT2392
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ4306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889023401
—
FL
Enumeration date
05/02/2008
Last updated
05/02/2008
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