Organization
LUNA MEDICAL & WELLNESS LLC
Active
Organization
LUNA MEDICAL & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK ELISSALT (OWNER)
(786) 570-9928
Entity
Organization
Contact information
Practice address
8900 SW 107TH AVE STE 200, MIAMI, FL 33176-1451
(786) 570-9928
Mailing address
8900 SW 107TH AVE STE 200, MIAMI, FL 33176-1451
(786) 570-9928
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
02/12/2023
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