| Future Bright Light Corp | |
|
4720 Salisbury Rd Jacksonville FL 32256-6101 | |
| (561) 260-3914 | |
| Not Available |
| Full Name | Future Bright Light Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 4720 Salisbury Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Leonela Rojas Gonzalez (P) |
| Authorized Official Contact | 5612603914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Future Bright Light Corp 4720 Salisbury Rd Jacksonville FL 32256-6101 Ph: (561) 260-3914 | Future Bright Light Corp 4720 Salisbury Rd Jacksonville FL 32256-6101 Ph: (561) 260-3914 |
| NPI Number | 1457131690 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457131690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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