Provider Demographics
NPI:1013728500
Name:BRIGHT SIDE NUTRITION LLC
Entity type:Organization
Organization Name:BRIGHT SIDE NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:YAISLI
Authorized Official - Middle Name:AURORA
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN/LDN
Authorized Official - Phone:754-231-0424
Mailing Address - Street 1:7310 SW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5320
Mailing Address - Country:US
Mailing Address - Phone:754-231-0424
Mailing Address - Fax:
Practice Address - Street 1:7310 SW 15TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5320
Practice Address - Country:US
Practice Address - Phone:754-231-0424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty