| Shining Bright, LLC | |
|
6570 Lake Blue Dr Miami Lakes FL 33014-3004 | |
| (305) 469-0117 | |
| Not Available |
| Full Name | Shining Bright, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 6570 Lake Blue Dr, Miami Lakes, Florida |
| Authorized Official Name and Position | Maikel Leyva (OWNER/ DIRECTOR) |
| Authorized Official Contact | 3054690117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Bright, LLC 6570 Lake Blue Dr Miami Lakes FL 33014-3004 Ph: (305) 469-0117 | Shining Bright, LLC 6570 Lake Blue Dr Miami Lakes FL 33014-3004 Ph: (305) 469-0117 |
| NPI Number | 1801592043 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801592043 | NPI | - | NPPES |
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