Active NPI
Lumina Mind & Body Wellness LLC
- Clinic/Center
- Panama City, FL
National Provider Identifier
1730097064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LUMINA MIND & BODY WELLNESS LLC
- Practice address
- 707 Jenks Ave Ste a
Panama City, FL 32401-2586 - Phone
- (813) 340-2819
- NPI assigned
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mabel Macias Cruz, APRN
- Title
- Owner
- Phone
- (813) 340-2819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
707 Jenks Ave Ste a
Panama City, FL 32401-2586
Mailing address
2905 Broad Wing Ave
Panama City, FL 32405-6679
Phone (813) 340-2819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1730097064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 BROAD WING AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324056679",
"telephone_number": "813-340-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 JENKS AVE STE A",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324012586",
"telephone_number": "813-340-2819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINA MIND & BODY WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "MACIAS CRUZ",
"authorized_official_first_name": "MABEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-340-2819",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.