| Luna Medical & Wellness Llc | |
|
8900 Sw 107th Ave Ste 200 Miami FL 33176-1451 | |
| (786) 570-9928 | |
| Not Available |
| Full Name | Luna Medical & Wellness Llc |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 8900 Sw 107th Ave Ste 200, Miami, Florida |
| Authorized Official Name and Position | Frank Elissalt (OWNER) |
| Authorized Official Contact | 7865709928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Medical & Wellness Llc 8900 Sw 107th Ave Ste 200 Miami FL 33176-1451 Ph: (786) 570-9928 | Luna Medical & Wellness Llc 8900 Sw 107th Ave Ste 200 Miami FL 33176-1451 Ph: (786) 570-9928 |
| NPI Number | 1013644590 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 02/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013644590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
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