Healthcare Provider Details

I. General information

NPI: 1902314255
Provider Name (Legal Business Name): SUNBRIGHT HEALTH MEDICAL CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15260 SW 280TH ST STE 113
HOMESTEAD FL
33032-8186
US

IV. Provider business mailing address

15260 SW 280TH ST STE 113
HOMESTEAD FL
33032-8186
US

V. Phone/Fax

Practice location:
  • Phone: 305-998-7885
  • Fax: 305-998-7885
Mailing address:
  • Phone: 305-998-7885
  • Fax: 877-811-0032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL ANTONIO REGO
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 786-972-7393