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Organization

BRIGHT PEDIATRICS

Active
Parent organization
BRIGHT PEDIATRICS
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRIGHT PEDIATRICS
Authorized official
SAMEH M ELAMIR X MD (MD)
(850) 257-5147
Entity
Organization

Contact information

Practice address
3520 E 15TH ST, PANAMA CITY, FL 32404-5831
(850) 763-4104
(850) 763-6689
Mailing address
340 W 23RD ST, SUITE B, PANAMA CITY, FL 32405-7600
(850) 257-5147
(850) 257-5886

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME111081
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004305100
FL
Enumeration date
01/08/2016
Last updated
01/08/2016
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