Healthcare Provider Details

I. General information

NPI: 1457268773
Provider Name (Legal Business Name): BRIGHTPATH PEDIATRIC & FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8281 SIERRA WOODS DR
TALLAHASSEE FL
32311-6603
US

IV. Provider business mailing address

106 BIG PINE LN
PONTE VEDRA FL
32081-4438
US

V. Phone/Fax

Practice location:
  • Phone: 850-322-3937
  • Fax:
Mailing address:
  • Phone: 850-322-3937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SANORA WHITE
Title or Position: OWNER/CEO
Credential: ED.D
Phone: 850-322-3937