Organization Active NPI

Brightstart Pediatrics, LLC

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
National Provider Identifier
1003265265
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
BRIGHTSTART PEDIATRICS, LLC
Practice address
1335 Winter Garden Vineland Rd
Suite 120
Winter Garden, FL 34787
Phone
(407) 461-2312
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Brown
Title
President
Phone
(407) 461-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1335 Winter Garden Vineland Rd
Suite 120
Winter Garden, FL 34787

Mailing address

1335 Winter Garden Vineland Rd
Suite 120
Winter Garden, FL 34787

National Provider Directory

National Provider Directory
Tax ID family
Brightstart Pediatrics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1335 Winter Garden Vineland Rd
Ste 120
Winter Garden, FL 34787
Phone (407) 461-2312

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1003265265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 WINTER GARDEN VINELAND RD",
            "address_2": "SUITE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 WINTER GARDEN VINELAND RD",
            "address_2": "SUITE 120",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-461-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTART PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-461-2312"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.