Organization
BRIGHT LIGHT PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THESALEE N RANDON MD (OWNER)
(612) 643-0092
Entity
Organization
Contact information
Practice address
601 E SAMPLE RD STE 103, POMPANO BEACH, FL 33064-4443
(612) 643-0092
Mailing address
PO BOX 668034, POMPANO BEACH, FL 33066-8034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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