Organization
BRIGHT SMILES PEDICARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUASCAR PENA (CEO/OWNER)
(786) 631-4926
Entity
Organization
Contact information
Practice address
2316 S RED RD, MIAMI, FL 33155-2207
(786) 631-4926
(786) 703-7952
Mailing address
2316 S RED RD, MIAMI, FL 33155-2207
(786) 631-4926
(786) 703-7952
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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