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Organization
VITA RN, LLC
Active
Organization
VITA RN, LLC
Active
Other names
Glow Medspa Miami
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN LUQUEZ APRN FNP-C (OWNER)
(786) 548-9787
Entity
Organization
Contact information
Practice address
13205 SW 137TH AVE STE 204, MIAMI, FL 33186-5334
(786) 548-9787
(305) 735-3599
Mailing address
13205 SW 137TH AVE STE 204, MIAMI, FL 33186-5334
(786) 548-9787
(305) 735-3599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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