Organization
PRACTICE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS F LUJAN (CEO)
(954) 553-2047
Entity
Organization
Contact information
Practice address
4945 S ORANGE BLOSSOM TRL STE 6, ORLANDO, FL 32839-2381
(954) 553-2047
Mailing address
4945 S ORANGE BLOSSOM TRL STE 6, ORLANDO, FL 32839-2381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
01/16/2025
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