Organization
BRIGHT LIFE MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JAIME (PRESIDENT)
(786) 930-1031
Entity
Organization
Contact information
Practice address
9300 NW 25TH ST STE 205, DORAL, FL 33172-1507
(786) 930-1031
Mailing address
9300 NW 25TH ST STE 205, DORAL, FL 33172-1507
(786) 930-1031
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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