BRIGHT LIGHT PEDIATRICS, PLLC (NPI# 1710460704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710460704 |
| Entity Type | Organization |
| Organization Name | BRIGHT LIGHT PEDIATRICS, PLLC |
| Practice Address |
601 E Sample Rd Ste 103 Pompano Beach FL 33064-4443 |
| Mailing Address |
Po Box 668034 Pompano Beach FL 33066-8034 |
| Practice Telephone | 6126430092 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Authorized Official Name | THESALEE N RANDON (OWNER) |
| Authorized Official Telephone | 6126430092 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 E Sample Rd Ste 103, Pompano Beach, FL 330644443 | 4045500570 |
| Street Address |
601 E SAMPLE RD STE 103 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33064-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398865 | I Heart Senior and Disable Services LLC | Day Training, Developmentally Disabled Services | 4331 Ne 6th Ave, Pompano Beach, FL 33064 | 2020-08-28 |
| 1912554437 | Nada Boskovic Md Pa | Internal Medicine | 1 W Sample Road, Suite 305, Pompano Beach, FL 33064 | 2019-08-20 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1568932598 | Cloann Joseph | Occupational Therapy Assistant | 401 E Sample Road, Deerfield Beach, FL 33064 | 2018-12-03 |
| 1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
| 1699283515 | Nancy Emilia Santiago | Behavior Technician | 600 Nw 33 St, Pompano Beach, FL 33064 | 2018-01-12 |
| 1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
| 1699221531 | Precision Construction & Design Services Inc | Contractor | 1711 B Nw 33 Street, Pompano Beach, FL 33064 | 2016-08-31 |
| 1841645587 | Julia Kyung Yoo, Inc | Point of Service | 4510 N. Federal Hwy, Lighthouse Point, FL 33064 | 2016-05-02 |
| 1487050969 | Michael Sassine | Podiatrist | 2100 Ne 36th St Ste 203, Lighthouse Point, FL 33064 | 2014-11-12 |
| Find all providers in zip 33064 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437684164 | Allegra Meacham | Pediatrics | 330 Se 6th Ter, Pompano Beach, FL 33060-8040 | 2017-05-01 |
| 1285053009 | Kimberly Cruz | Pediatrics | 1221 Ne 26th Ave, Pompano Beach, FL 33062-3724 | 2014-04-09 |
| 1821379058 | Atlantic Pediatric Partners LLC | Pediatrics | 4701 N Federal Hwy Ste 370, Pompano Beach, FL 33064-6550 | 2011-09-01 |
| 1700973971 | Pediatric Care of Pompano, LLC | Pediatrics | 200 Se 19th Street, Pompano Beach, FL 33060 | 2006-10-06 |
| 1639266984 | Sarita Munuswamy | Pediatrics | 1600 North Federal Hwy, Suite B, Pompano Beach, FL 33062 | 2006-10-06 |
| 1124083241 | Wallace V Korn | Pediatrics | 601 W Atlantic Blvd, Pompano Beach, FL 33060 | 2006-04-20 |
| 1033182886 | Alexandra Silva-plazas | Pediatrics | 135 S Pompano Pkwy, Pompano Beach, FL 33069-3003 | 2006-02-10 |
| 1871578641 | East Pompano Pediatrics Corp | Pediatrics | 601 East Sample Road, Suite 107, Pompano Beach, FL 33064 | 2005-12-14 |
| 1629067178 | Charles Teebagy | Pediatrics | 1800 N Federal Hwy, #110, Pompano Beach, FL 33062-1095 | 2005-10-18 |
| 1831188390 | Allen Furia | Pediatrics | 4701 N. Federal Hwy., Suite #370, Pompano Beach, FL 33064 | 2005-10-18 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33064 |
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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.