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Organization

LUMINA WELLNESS GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER STEPHENS FNP (OWNER)
(786) 200-7553
Entity
Organization

Contact information

Practice address
737 NORTH WEST, 135TH AVENUE, PEMBROKE PINES, FL 33028
(786) 200-7553
Mailing address
2114 N FLAMINGO RD # 5034, PEMBROKE PINES, FL 33028-3501
(786) 200-7553

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
01/14/2025
Last updated
01/12/2026
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