Organization
LELUMIERE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL A PULIDO M.D. (MEDICAL DIRECTOR/CHAIRMAN)
(863) 471-0050
Entity
Organization
Contact information
Practice address
4325 SUN N LAKE BLVD, SUITE 105, SEBRING, FL 33872-2171
(836) 471-0050
(863) 382-4899
Mailing address
4325 SUN N LAKE BLVD, SUITE 105, SEBRING, FL 33872-2171
(836) 471-0050
(863) 382-4899
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MM17142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM17142
MASSAGE HERAPIST
FL
Enumeration date
09/30/2010
Last updated
09/30/2010
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