Organization
LUMINOUS MIND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE BELFORT PMHNP (PROVIDER)
(954) 478-0553
Entity
Organization
Contact information
Practice address
17145 HAMLIN BLVD, LOXAHATCHEE, FL 33470-1759
(954) 478-0553
Mailing address
17145 HAMLIN BLVD, LOXAHATCHEE, FL 33470-1759
(954) 478-0553
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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