Provider Demographics
NPI:1134713647
Name:BRIGHT FUTURES CARE BFZ INC
Entity type:Organization
Organization Name:BRIGHT FUTURES CARE BFZ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRIAS MATEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-254-8644
Mailing Address - Street 1:1971 FOUNTAINS DR
Mailing Address - Street 2:
Mailing Address - City:KINDRED
Mailing Address - State:FL
Mailing Address - Zip Code:34744-6185
Mailing Address - Country:US
Mailing Address - Phone:407-300-7688
Mailing Address - Fax:
Practice Address - Street 1:1971 FOUNTAINS DR
Practice Address - Street 2:
Practice Address - City:KINDRED
Practice Address - State:FL
Practice Address - Zip Code:34744-6185
Practice Address - Country:US
Practice Address - Phone:407-300-7688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty