# LUMINI MEDICAL SPA CORP

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

## Provider details

- **NPI number:** 1770436693
- **Authorized official:** ANTONIO DIVINO DUTRA FILHO (OWNER / AGENT)
- **Authorized official phone:** (305) 798-1902

## Contact information

- **Practice address:** 19565 BISCAYNE BLVD STE 1954, AVENTURA, FL 33180-2392
- **Practice address phone:** (305) 974-2434
- **Mailing address:** 587 E SAMPLE RD STE 314, DEERFIELD BEACH, FL 33064-4425
- **Mailing address phone:** (305) 974-2434

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2026
- **Last updated:** 02/19/2026
