Individual
DYLAN ISAAC LUXENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 SLIGH BLVD, STE. 200, ORLANDO, FL 32806
(407) 649-6884
Mailing address
1335 SLIGH BLVD, STE. 400 MP 100, ORLANDO, FL 32806
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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