Healthcare Provider Details

I. General information

NPI: 1366314957
Provider Name (Legal Business Name): BRIGHT CHILDREN PPEC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 PALM BEACH LAKES BLVD STE 125
WEST PALM BEACH FL
33409-3509
US

IV. Provider business mailing address

1897 PALM BEACH LAKES BLVD STE 125
WEST PALM BEACH FL
33409-3509
US

V. Phone/Fax

Practice location:
  • Phone: 305-879-1014
  • Fax:
Mailing address:
  • Phone: 305-879-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State

VIII. Authorized Official

Name: JORGE MORALES BETANCOUR
Title or Position: OWNER
Credential:
Phone: 305-879-1014