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Organization

LUMIERE MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHABELI LOVAGNINI CASTILLO (PRESIDENT)
(813) 365-4239
Entity
Organization

Contact information

Practice address
5100 78TH AVE N STE 3, PINELLAS PARK, FL 33781-2407
(813) 365-4239
Mailing address
5100 78TH AVE N STE 3, PINELLAS PARK, FL 33781-2407
(813) 365-4239

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
111NX0800X
Orthopedic Chiropractor
207QS0010X
Sports Medicine (Family Medicine) Physician
225XP0019X
Physical Rehabilitation Occupational Therapist
261QI0500X
Infusion Therapy Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
261QP2000X
Physical Therapy Clinic/Center
Primary
261QR0400X
Rehabilitation Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Other

Enumeration date
04/08/2025
Last updated
04/08/2025
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