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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