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1336759455
LUNA EXCELLENT
ORLANDO, FL
NPI
1336759455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11003432)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
LUNA EXCELLENT APRN
9400 TURKEY LAKE RD
ORLANDO, FL 32819-8001
Phone number: 407-351-8500
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Mailing Address
LUNA EXCELLENT APRN
6489 REDWOOD OAKS DR
ORLANDO, FL 32818-2740
Phone number: 407-936-8147
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