Provider Demographics
NPI:1104603109
Name:MARCANO MOLINA, LUZMARINA SR (CARE COACH)
Entity type:Individual
Prefix:
First Name:LUZMARINA
Middle Name:
Last Name:MARCANO MOLINA
Suffix:SR
Gender:F
Credentials:CARE COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12507 MIRAMAR PKWY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2909
Mailing Address - Country:US
Mailing Address - Phone:844-665-4827
Mailing Address - Fax:888-498-3649
Practice Address - Street 1:12507 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2909
Practice Address - Country:US
Practice Address - Phone:844-665-4827
Practice Address - Fax:888-498-3649
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18828171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach