Organization
BRIGHT HEALTH CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYDI DOMIGUEZ APRN (PRESIDENT)
(407) 960-1413
Entity
Organization
Contact information
Practice address
3592 ALOMA AVE STE 5, WINTER PARK, FL 32792-4012
(407) 960-1413
(407) 960-1553
Mailing address
3592 ALOMA AVE STE 5, WINTER PARK, FL 32792-4012
(407) 960-1413
(407) 960-1553
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/21/2019
Last updated
04/21/2019
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