Individual
DR. BLANCA CRISTINA LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1410 LPGA BLVD, SUITE 136, DAYTONA BEACH, FL 32117-5115
(386) 274-4750
(386) 274-2499
Mailing address
1410 LPGA BLVD, SUITE 136, DAYTONA BEACH, FL 32117-5115
(386) 274-4750
(386) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME069660
FL
207R00000X
Internal Medicine Physician
Primary
ME69660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008194
FHCP
FL
01
—
0401213
UHC
FL
01
—
080134191
RAILROAD MC
FL
05
—
261635100
—
FL
01
—
28295
BCBS
FL
01
—
4753172
CIGNA
FL
01
—
5910274
AETNA
FL
01
—
9694592
GHI
FL
01
—
HEASE
206630
FL
Enumeration date
06/20/2006
Last updated
02/24/2015
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