BRIGHTSTART PEDIATRICS,LLC (NPI# 1912190125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912190125 |
| 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 | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| 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 | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
60080984 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BrightStart Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508928789 | Brightstart Pediatrics,llc | Physical Therapist | 12377 S Orange Blossom Trl, Orlando, FL 32837-6215 | 2006-12-14 |
| Street Address |
1133 W AIRPORT BLVD |
| City | SANFORD |
| State | FL |
| Zip Code | 32773-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1457545725 | Brightstart Pediatrics, LLC | Clinic/Center | 1133 W Airport Blvd, Sanford, FL 32773-4972 | 2007-08-30 |
| 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 |
| Find all providers in zip 32773 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647363 | Shining Stars Pediatric Extended Care, LLC | Clinic/Center | 5201 Ravenswood Rd Ste 110, Ft Lauderdale, FL 33312-6004 | 2020-10-21 |
| 1275131575 | Angels On Earth Ppec, Inc. | Clinic/Center | 335 Pineda Ct Ste 104, Melbourne, FL 32940-7504 | 2020-10-09 |
| 1609488840 | Gencare Kids, LLC | Clinic/Center | 2557 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4993 | 2020-08-19 |
| 1659982742 | Banyan Pediatric Care Centers Pasco, LLC | Clinic/Center | 4008 Little Rd, New Port Richey, FL 34655-1719 | 2020-08-12 |
| 1205447398 | Banyan Pediatric Care Centers Sarasota, LLC | Clinic/Center | 3251 17th St Unit 200, Sarasota, FL 34235-8900 | 2020-08-12 |
| 1992330757 | Angels On Earth Ppec, Inc. | Clinic/Center | 110 Patterson Rd Ste 2, Haines City, FL 33844-7840 | 2020-03-11 |
| 1669004206 | Angels Special Care Inc | Clinic/Center | 17571 S Dixie Hwy, Palmetto Bay, FL 33157-5435 | 2020-02-11 |
| 1871132183 | Abc Pediatrics of Florida Inc | Clinic/Center | 14856 Nw 7th Ave, Miami, FL 33168-3106 | 2020-01-03 |
| 1548801848 | Caresquare of Florida LLC | Clinic/Center | 100 S Congress Ave Ste 2230e, Delray Beach, FL 33445-4642 | 2019-10-08 |
| 1326696758 | Pedikidz Ppec | Clinic/Center | 7800 Sw 87th Ave Ste A-100, Miami, FL 33173-3570 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
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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.