Glow Med Lounge LLC
NPI #1841049152 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1841049152
- Entity Type
- Organization
- Organization Name
- Glow Med Lounge LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 17, 2024
- Last Updated
- May 17, 2024
Practice Location
- Address
- 723 WORLINGTON LN
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34947-1351
- Phone
- (787) 923-1116
Authorized Official
- Name
- CORALIS M PENA SANTANA, APRN
- Title
- OWNER-APRN
- Phone
- (787) 923-1116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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