| Luna Katsutra Wellness Inc. | |
|
9835 Sw 72nd St Ste 208 Miami FL 33173-4647 | |
| (305) 381-5429 | |
| (305) 381-5542 |
| Full Name | Luna Katsutra Wellness Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9835 Sw 72nd St Ste 208, Miami, Florida |
| Authorized Official Name and Position | David Santiago (PRESIDENT) |
| Authorized Official Contact | 3053815429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Katsutra Wellness Inc. 9835 Sw 72nd St Ste 208 Miami FL 33173-4647 Ph: (305) 381-5429 | Luna Katsutra Wellness Inc. 9835 Sw 72nd St Ste 208 Miami FL 33173-4647 Ph: (305) 381-5429 |
| NPI Number | 1245638063 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245638063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME64467 (Florida) | Primary |
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