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Organization
MAGIC IV THERAPY
Active
Organization
MAGIC IV THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN M LUGO (OWNER)
(407) 449-5151
Entity
Organization
Contact information
Practice address
830 E VINE ST, KISSIMMEE, FL 34744-4218
(407) 449-5151
Mailing address
1580 NEO LANDINGS LOOP APT 113, KISSIMMEE, FL 34744-3222
(407) 449-5151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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