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Organization
LUMINA MASSAGE
Active
Organization
LUMINA MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE O. RODRIGUEZ LMT (OWNER)
(786) 312-7321
Entity
Organization
Contact information
Practice address
15165 NW 77TH AVE, MIAMI LAKES, FL 33014-7801
(305) 900-8285
Mailing address
8440 NW 170TH TER, HIALEAH, FL 33015-3722
(786) 312-7321
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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