Individual
FANIE LUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 NEEDLE PALM DR, EDGEWATER, FL 32141-3915
(786) 608-2999
Mailing address
207 HUBBELL ST, EDGEWATER, FL 32132-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9601513
FL
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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