Organization
BRIGHT PEDIATRICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEH MOHAMED ELAMIR MD (PRESIDENT)
(850) 763-4104
Entity
Organization
Contact information
Practice address
3520 E 15TH ST, PANAMA CITY, FL 32404-5831
(850) 763-4104
(850) 763-6689
Mailing address
PO. BOX 1491, LYNN HAVEN, FL 32444-5431
(850) 763-4104
(850) 763-6689
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME111081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004030700
—
FL
Enumeration date
11/16/2011
Last updated
03/08/2012
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