Healthcare Provider Details

I. General information

NPI: 1356291579
Provider Name (Legal Business Name): BRIGHT CARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3507 LEE BLVD STE 278
LEHIGH ACRES FL
33971-1314
US

IV. Provider business mailing address

3507 LEE BLVD STE 278
LEHIGH ACRES FL
33971-1314
US

V. Phone/Fax

Practice location:
  • Phone: 561-643-7643
  • Fax: 754-714-3604
Mailing address:
  • Phone: 561-643-7643
  • Fax: 754-714-3604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ARACHELIS DOMINGUEZ
Title or Position: CEO
Credential: APRN
Phone: 561-643-7643