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Organization

ILLUMINOUS HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STARRY JHOUN (MANAGER)
(941) 841-1229
Entity
Organization

Contact information

Practice address
3900 CLARK RD STE 2, SARASOTA, FL 34233-2301
(941) 841-1229
Mailing address
4581 ASHTON RD, SARASOTA, FL 34233-3405
(941) 841-1229

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
12/08/2021
Last updated
12/08/2021
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