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Organization
BRIGHTSTART PEDIATRICS,LLC
Active
Organization
BRIGHTSTART PEDIATRICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BROWN (MANAGING MEMBER)
(407) 857-1212
Entity
Organization
Contact information
Practice address
12377 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6215
(407) 857-1212
Mailing address
12377 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6215
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT20498
FL
225XP0200X
Pediatric Occupational Therapist
OT 2392
FL
225XP0200X
Pediatric Occupational Therapist
OT12396
FL
235Z00000X
Speech-Language Pathologist
Primary
SA 2693
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889023400
—
FL
Enumeration date
12/14/2006
Last updated
04/30/2008
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