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General NPI Number Information
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NPI Number | 1659001741
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Entity Type | Organization
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Legal Business Name | BRIGHT CARE FAMILY MEDICINE CORP
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 2500 E HALLANDALE BEACH BLVD STE 505
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4838
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Country | US
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Telephone | 786-733-1066
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Fax | 786-839-3258
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Provider Business Mailing Address
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Address Line | 2500 E HALLANDALE BEACH BLVD STE 505
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4838
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Country | US
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Telephone | 786-733-1066
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Fax | 786-839-3258
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DMITRY ZHUKOVSKI
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Credential | DO
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Telephone | 786-733-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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