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Organization

BRIGHTER FUTURE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK G. FERGUSON (DIRECTOR)
(321) 662-3554
Entity
Organization

Contact information

Practice address
6239 EDGEWATER DRIVE, BLDG V-1 SUITE 2, ORLANDO, FL 32810
(407) 298-9264
(407) 298-9265
Mailing address
4946 ROSE AVENUE, ORLANDO, FL 32808
(321) 662-3554

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
230332
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
692996696(98)
FL
Enumeration date
11/02/2010
Last updated
11/02/2010
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