Organization
LUNA NUEVA HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO J MARTINEZ (OWNER)
(813) 475-6200
Entity
Organization
Contact information
Practice address
13115 W LINEBAUGH AVE STE 102, TAMPA, FL 33626-4493
(813) 475-6200
(813) 475-6202
Mailing address
13115 W LINEBAUGH AVE STE 102, TAMPA, FL 33626-4493
(813) 475-6200
(813) 475-6202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
04/22/2026
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