Organization
HEALING EARTH & REJUVENATION
Active
Other names
Iluma Center for Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G. ASTOR (DIRECTOR OF OPERATIONS)
(305) 792-0007
Entity
Organization
Contact information
Practice address
18205 BISCAYNE BLVD, #100, AVENTURA, FL 33160-2106
(305) 792-0007
(305) 792-0990
Mailing address
18205 BISCAYNE BLVD, #100, AVENTURA, FL 33160-2106
(305) 792-0007
(305) 792-0990
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME86974
WI
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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