Healthcare Provider Details

I. General information

NPI: 1033067566
Provider Name (Legal Business Name): BRIGHTPATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1368 SUMMIT PINES BLVD APT 333
WEST PALM BEACH FL
33415-4761
US

IV. Provider business mailing address

1368 SUMMIT PINES BLVD APT 333
WEST PALM BEACH FL
33415-4761
US

V. Phone/Fax

Practice location:
  • Phone: 786-251-8939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ROJAS BRYAN
Title or Position: MANAGER
Credential:
Phone: 786-251-8939