Organization Active NPI

Lelumiere,Inc

  • Reflexologist
  • Sebring, FL
National Provider Identifier
1871802371
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MM17142 Issued in FL
Legal business name
LELUMIERE,INC
Practice address
4325 Sun N Lake Blvd
Suite 105
Sebring, FL 33872-2171
Phone
(836) 471-0050
Fax
(863) 382-4899
NPI assigned
Sep 30, 2010
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Gabriel A Pulido, M.D.
Title
Medical Director/Chairman
Phone
(863) 471-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MM17142 FL Primary

Addresses

Primary practice location

4325 Sun N Lake Blvd
Suite 105
Sebring, FL 33872-2171

Mailing address

4325 Sun N Lake Blvd
Suite 105
Sebring, FL 33872-2171
Phone (836) 471-0050

Other identifiers 1

IdentifierTypeStateIssuer
MM17142OtherFLMASSAGE HERAPIST

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1871802371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 SUN N LAKE BLVD",
            "address_2": "SUITE 105",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722171",
            "telephone_number": "836-471-0050",
            "fax_number": "863-382-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 SUN N LAKE BLVD",
            "address_2": "SUITE 105",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722171",
            "telephone_number": "836-471-0050",
            "fax_number": "863-382-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELUMIERE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CHAIRMAN",
        "authorized_official_telephone_number": "863-471-0050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MM17142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE HERAPIST",
            "identifier": "MM17142",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.