Organization
LUX MEDICAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS MANUEL GONZALEZ MD (PRESIDENT)
(786) 715-1059
Entity
Organization
Contact information
Practice address
1200 S FEDERAL HWY, HOLLYWOOD, FL 33020-6030
(786) 715-1059
(954) 443-8496
Mailing address
1200 S FEDERAL HWY, HOLLYWOOD, FL 33020-6030
(786) 715-1059
(954) 443-8496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023990400
—
FL
Enumeration date
12/03/2016
Last updated
08/03/2021
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