Healing Earth & Rejuvenation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME86974 Issued in WI

Legal business name

HEALING EARTH & REJUVENATION

Doing business as

Iluma Center for Health

Practice address

18205 Biscayne Blvd
#100
Aventura, FL 33160-2106

Phone

(305) 792-0007

Fax

(305) 792-0990

NPI assigned

Jul 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark G. Astor

Title

Director of Operations

Phone

(305) 792-0007

Specialties & licenses 1

Addresses

Other names 1

• Iluma Center for Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063446755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 BISCAYNE BLVD",
            "address_2": "#100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602106",
            "telephone_number": "305-792-0007",
            "fax_number": "305-792-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 BISCAYNE BLVD",
            "address_2": "#100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331602106",
            "telephone_number": "305-792-0007",
            "fax_number": "305-792-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING EARTH & REJUVENATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASTOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "305-792-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "ME86974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iluma Center for Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esther Fayge Hauck, MFT
• Hanny Hausmann
• Shantell Haynes, MFT
• HCA Physician Services
• HD Medical Group LLC
• Health by Choice Florida
• Healthstone Medical Group, LLC
• Hear Again LLC (Aventura Hear Center/A Division of Hear Again America)
• Debra Heller
• Sara Hellman, PA

• Pain Medicine (Anesthesiology) Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.