BRIGHTSTART PEDIATRICS, LLC (NPI# 1457545725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457545725 |
| Entity Type | Organization |
| Organization Name | BRIGHTSTART PEDIATRICS, LLC |
| Other Organization Name | BRIGHTSTART PEDIATRICS |
| Practice Address |
1133 W Airport Blvd Sanford FL 32773-4972 |
| Mailing Address |
12377 S Orange Blossom Trl Orlando FL 32837-6215 |
| Practice Telephone | 4073219570 |
| Practice Fax Number | 4073219571 |
| Mailing Telephone | 4078571212 |
| Mailing Fax Number | 4078571239 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | MS. LINDA CATHERINE BROWN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4073219570 |
| Authorized Official Credential | MBA, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BrightStart Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982051736 | Brightstart Pediatrics, LLC | Clinic/Center | 1335 Winter Garden Vineland Rd, Suite 120, Winter Garden, FL 34787-4204 | 2016-05-23 |
| 1780697862 | Brightstart Pediatrics, LLC | Skilled Nursing Facility | 12377 S Orange Blossom Trl, Orlando, FL 32837-6215 | 2006-08-13 |
| 1003265265 | Brightstart Pediatrics, LLC | Clinic/Center | 1335 Winter Garden Vineland Rd, Suite 120, Winter Garden, FL 34787 | 2016-06-08 |
| Street Address |
1133 W AIRPORT BLVD |
| City | SANFORD |
| State | FL |
| Zip Code | 32773-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912190125 | Brightstart Pediatrics,llc | Clinic/Center | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2007-08-21 |
| 1508274523 | Angela Sumrall | Occupational Therapy Assistant | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2014-07-23 |
| 1275841124 | Shelley Hughes | Respiratory Therapist, Registered | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2010-09-14 |
| 1396911020 | Brightstart Pediatrics LLC | Skilled Nursing Facility | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2008-05-02 |
| 1487820114 | Brightstart Pediatrics LLC | Physical Therapist | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
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| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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|---|---|---|---|---|
| 1295279990 | Ability Health Services and Rehabilitation Lp | Clinic/Center | 1200 Lexington Green Ln, Sanford, FL 32771-1013 | 2016-12-14 |
| 1477964823 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5433 W State Road 46, Sanford, FL 32771-9236 | 2014-05-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.