Provider Demographics
NPI:1316715345
Name:ALLURE MEDICAL AND WELLNESS CARE, LLC
Entity type:Organization
Organization Name:ALLURE MEDICAL AND WELLNESS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DORVIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-494-4415
Mailing Address - Street 1:6193 NW 183RD ST # 173186
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6030
Mailing Address - Country:US
Mailing Address - Phone:305-494-4415
Mailing Address - Fax:
Practice Address - Street 1:7603 DAVIE ROAD EXT
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2623
Practice Address - Country:US
Practice Address - Phone:305-494-4415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care