Organization
BLANCA LUNA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLANCA CRISTINA LUNA M.D. (MD/OWNER)
(386) 279-0040
Entity
Organization
Contact information
Practice address
636 W PLYMOUTH AVE, DELAND, FL 32720-3260
(386) 279-0040
(386) 264-2171
Mailing address
636 W PLYMOUTH AVE, DELAND, FL 32720-3260
(386) 279-0040
(386) 279-0034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0069660
FL
207R00000X
Internal Medicine Physician
Primary
ME69660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261635100
—
FL
Enumeration date
07/31/2008
Last updated
06/22/2012
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