Organization Active NPI

Glowtox Studio LLC

  • Primary Care Clinic/Center
  • Palm City, FL
National Provider Identifier
1851189260
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GLOWTOX STUDIO LLC
Practice address
3228 SW Martin Downs Blvd Ste 200
Palm City, FL 34990-2680
Phone
(772) 223-0620
Fax
(772) 223-0640
NPI assigned
Apr 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Luis Enrique Morera, APRNNPI 1235612771
Title
Authorized Official
Phone
(305) 979-7195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

3228 SW Martin Downs Blvd Ste 200
Palm City, FL 34990-2680

Mailing address

1914 SW Notre Dame Ave
Port St Lucie, FL 34953-2469
Phone (305) 979-7195

Other identifiers 2

IdentifierTypeStateIssuer
102375000MedicaidFL
14440985OtherFLCAQH

Other names 1

  • Allergy and Asthma Care. Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@direct.glowtoxstudio.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250924001515 FL Part B Supplier - Clinic/Group Practice 8325543002 Receives reassigned benefits from 1 practitioner
Practice locations: Palm City, FL

National Provider Directory

National Provider Directory

Locations

3228 SW Martin Downs Blvd
Ste 200
Palm City, FL 34990
Phone (772) 223-0620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1851189260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 SW NOTRE DAME AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532469",
            "telephone_number": "305-979-7195",
            "fax_number": "262-425-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 SW MARTIN DOWNS BLVD STE 200",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902680",
            "telephone_number": "772-223-0620",
            "fax_number": "772-223-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWTOX STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-26",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "MORERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-979-7195",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102375000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14440985",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@direct.glowtoxstudio.com",
            "affiliation": "N",
            "endpointDescription": "Facility-level Direct Messaging endpoint for Glowtox Studio LLC, enabling secure transmission of clinical data across EMR systems, clearinghouses, and HIE networks. Supports C-CDA format for interoperability and future scalability.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA (XML)",
            "address_1": "3228 SW Martin Downs Blvd Ste 200",
            "city": "Palm City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349902680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Care.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Allergy and Asthma Care.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.