# LUXMED LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104621358
- **Authorized official:** DAVID SCOTT BRANCATI DO (MEMBER)
- **Authorized official phone:** (419) 283-9801

## Contact information

- **Practice address:** 15 BRENDAN WAY STE 210, GREENVILLE, SC 29615-3562
- **Practice address phone:** (864) 305-5000
- **Mailing address:** 30 N GOULD ST STE N, SHERIDAN, WY 82801-6317
- **Mailing address phone:** (419) 283-9801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2025
- **Last updated:** 02/13/2025