Bright Medcare LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

BRIGHT MEDCARE LLC

Practice address

2544 N State Road 7
Hollywood, FL 33021-3205

Phone

(954) 963-1899

Fax

(954) 963-5613

NPI assigned

Dec 3, 2012

Organization subpart

No

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

Authorized official

Name

Mark Cereceda, D.C,

Title

MBR

Phone

(954) 963-1899

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1730424763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 N STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213205",
            "telephone_number": "954-963-1899",
            "fax_number": "954-963-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 N STATE ROAD 7",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213205",
            "telephone_number": "954-963-1899",
            "fax_number": "954-963-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MEDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "CERECEDA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "954-963-1899",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Brietzke, MD
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• Pavielle Briggs, APRN, PMHNP
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• Bright Hands Caregivers LLC
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• Brightening Minds CMHC LLC
• Brighter Tomorrows Counseling Services LLC
• Brilliant Minds and Bodies Children'S Therapies LLC
• Brilliant Stars Inc.

• Medical Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.