Healthcare Provider Details

I. General information

NPI: 1881320984
Provider Name (Legal Business Name): BRIGHT CARE ONE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 W VIRGINIA AVE STE C
TAMPA FL
33607-6310
US

IV. Provider business mailing address

2511 W VIRGINIA AVE STE C
TAMPA FL
33607-6310
US

V. Phone/Fax

Practice location:
  • Phone: 813-252-9240
  • Fax: 813-252-7556
Mailing address:
  • Phone: 813-252-9240
  • Fax: 813-252-7556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HANY GARBEY
Title or Position: MANAGER
Credential:
Phone: 813-252-9240