Organization
LUMOS PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS J OLIVERA - RODRIGUEZ MD (OWNER)
(407) 930-6684
Entity
Organization
Contact information
Practice address
6001 VINELAND RD STE 109, ORLANDO, FL 32819-7829
(407) 930-6684
(949) 404-8433
Mailing address
6001 VINELAND RD STE 109, ORLANDO, FL 32819-7829
(407) 930-6684
(949) 404-8433
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
06/11/2022
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