HEALING EARTH & REJUVENATION NPI 1063446755

NPI Information

  • NPI: 1063446755
  • Provider Name: HEALING EARTH & REJUVENATION
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Doing Business As: ILUMA CENTER FOR HEALTH
  • Address: 18205 BISCAYNE BLVD
    #100
    AVENTURA, FL
    ZIP 33160
  • Phone: (305) 792-0007

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 11/21/2025

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