NPI | 1063446755 |
---|---|
Doing Business As | ILUMA CENTER FOR HEALTH |
Entity Type | Organization |
Authorized Contact | MARK G. ASTOR Director Of Operations 305-792-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI ME86974) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-08-22 |