Bright Light Institute Llc | |
1106 Normandy Dr Miami Beach FL 33141-2812 | |
(305) 864-9432 | |
(305) 864-9423 |
Full Name | Bright Light Institute Llc |
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Speciality | Family Medicine |
Location | 1106 Normandy Dr, Miami Beach, Florida |
Authorized Official Name and Position | Joel Corredor (PRESIDENT) |
Authorized Official Contact | 3058649432 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bright Light Institute Llc 1106 Normandy Dr Miami Beach FL 33141-2812 Ph: (305) 864-9432 | Bright Light Institute Llc 1106 Normandy Dr Miami Beach FL 33141-2812 Ph: (305) 864-9432 |
NPI Number | 1295764348 |
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Provider Enumeration Date | 07/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295764348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | HCC5405 (Florida) | Primary |
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