Bright Light Pediatrics, Pllc
NPI #1710460704 in Pompano Beach, Florida
Provider Information
- NPI Number
- 1710460704
- Entity Type
- Organization
- Organization Name
- Bright Light Pediatrics, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Sep 14, 2018
- Last Updated
- Sep 14, 2018
Practice Location
- Address
- 601 E SAMPLE RD STE 103
- City
- Pompano Beach
- State
- Florida
- ZIP Code
- 33064-4443
- Phone
- (612) 643-0092
Authorized Official
- Name
- THESALEE N RANDON, MD
- Title
- OWNER
- Phone
- (612) 643-0092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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