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Contact Information

BRIGHT MINDS PEDIATRIC THERAPY LLC.
4097 SUSSEX AVE
LAKE WORTH, FL33461-1719
 Phone: 786-537-5904
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for BRIGHT MINDS PEDIATRIC THERAPY LLC.

NPI Number 1275277469
LBN Legal business name BRIGHT MINDS PEDIATRIC THERAPY LLC.
Authorized official NOLEYS GOMEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2022
Last updated 08/24/2022 - About 4 years ago
Identifiers
FL Medicaid 1841834736
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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