Basic Information
| Provider Information | |||||||||
| NPI: | 1710206172 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRIGHT | ||||||||
| FirstName: | SAWEDA | ||||||||
| MiddleName: | ALMA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 PRIMERA BLVD STE 1031 | ||||||||
| Address2: | |||||||||
| City: | LAKE MARY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327462124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078348111 | ||||||||
| FaxNumber: | 4078348506 | ||||||||
| Practice Location | |||||||||
| Address1: | 8640 SUDLEY RD | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | MANASSAS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201104420 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7033617778 | ||||||||
| FaxNumber: | 7033611811 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2010 | ||||||||
| LastUpdateDate: | 04/23/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 0116022545 | VA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207V00000X | 0101255988 | VA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.