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Organization
LUNAR WELLNESS LLC
Active
Organization
LUNAR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAISA LUNAR MSN, APRN, PMHNP-BC (MANAGING MEMBER)
(305) 401-6379
Entity
Organization
Contact information
Practice address
1081 SW 143RD CT, MIAMI, FL 33184-3095
(305) 401-6379
Mailing address
1081 SW 143RD CT, MIAMI, FL 33184-3095
(305) 401-6379
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/02/2026
Last updated
09/06/2026
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