Organization
GAIA HOLISTIC PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMABEL LUBATON APRN (OWNER)
(786) 449-5448
Entity
Organization
Contact information
Practice address
430 STATE ROAD 436 STE 224, CASSELBERRY, FL 32707-4965
(786) 449-5448
Mailing address
430 STATE ROAD 436 STE 224, CASSELBERRY, FL 32707-4965
(786) 449-5448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
08/04/2020
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