Provider Demographics
NPI:1124908363
Name:BRIGHT STARS CLINIC
Entity type:Organization
Organization Name:BRIGHT STARS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:SAMORA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPIO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:321-271-5551
Mailing Address - Street 1:6059 CAMP LEE RD # A
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-5514
Mailing Address - Country:US
Mailing Address - Phone:561-220-2952
Mailing Address - Fax:
Practice Address - Street 1:6059 CAMP LEE RD # A
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-5514
Practice Address - Country:US
Practice Address - Phone:561-220-2952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty