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HEALING EARTH & REJUVENATION NPI 1063446755


NPI Information

NPI: 1063446755
Provider Name: HEALING EARTH & REJUVENATION

Doing Business As: ILUMA CENTER FOR HEALTH

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
18205 BISCAYNE BLVD
#100
AVENTURA, FL
ZIP 33160
Phone: (305) 792-0007
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HEALING EARTH & REJUVENATION is a pain medicine anesthesiology in Aventura, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. HEALING EARTH & REJUVENATION NPI is 1063446755. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Iluma Center For Health.

The provider's business location address is:

18205 BISCAYNE BLVD
#100
AVENTURA, FL
ZIP 33160-106
Phone: (305) 792-0007
Fax: (305) 792-0990

The provider's authorized official is Mark G. Astor .
The authorized official title is Director Of Operations and has the following contact phone number (305) 792-0007.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineME86974WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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