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Organization

BRIGHTSTAR COMMUNITY MENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORGE L MANSO (PRESIDENT)
(786) 317-0336
Entity
Organization

Contact information

Practice address
3970 W FLAGLER ST STE 102, CORAL GABLES, FL 33134-1642
(786) 266-0956
Mailing address
3970 W FLAGLER ST STE 102, CORAL GABLES, FL 33134-1642
(786) 317-0336

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM1300X
Multi-Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
07/13/2019
Last updated
07/12/2025
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