Organization
LUNA 11, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORA GONZALEZ DE LA PARTE (PRESIDENT/OWNER)
(305) 554-4385
Entity
Organization
Contact information
Practice address
3783 SW 97TH AVE, MIAMI, FL 33165-4058
(305) 554-4385
(305) 552-9668
Mailing address
3783 SW 97TH AVE, MIAMI, FL 33165-4058
(305) 554-4385
(305) 552-9668
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10304
FL
Other
Enumeration date
01/20/2010
Last updated
05/21/2025
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