| Bright Care Medical Group Llc | |
|
245 Citrus Tower Blvd Ste 201 Clermont FL 34711-1907 | |
| (217) 816-3021 | |
| Not Available |
| Full Name | Bright Care Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 245 Citrus Tower Blvd Ste 201, Clermont, Florida |
| Authorized Official Name and Position | Gustavo A Sosa (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2178163021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Care Medical Group Llc 1443 Long Meadow Way Windermere FL 34786-6086 Ph: (217) 816-3021 | Bright Care Medical Group Llc 245 Citrus Tower Blvd Ste 201 Clermont FL 34711-1907 Ph: (217) 816-3021 |
| NPI Number | 1780167007 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Medicare PECOS PAC ID | 1052658747 |
|---|---|
| Medicare Enrollment ID | O20190204002461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780167007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ileana M Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396055950 PECOS PAC ID: 6002091931 Enrollment ID: I20110419000711 |
| Provider Name | Gustavo A Sosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942438932 PECOS PAC ID: 0042489890 Enrollment ID: I20120705000112 |
| Provider Name | Laura Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912521576 PECOS PAC ID: 6103200118 Enrollment ID: I20220825000044 |
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