Provider Demographics
NPI:1912528563
Name:LUXVIL MEDICAL CENTER INC
Entity type:Organization
Organization Name:LUXVIL MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURSULI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-580-4754
Mailing Address - Street 1:3785 NW 82ND AVE STE 408
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6632
Mailing Address - Country:US
Mailing Address - Phone:786-580-4754
Mailing Address - Fax:305-675-9244
Practice Address - Street 1:3785 NW 82ND AVE STE 408
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6632
Practice Address - Country:US
Practice Address - Phone:786-580-4754
Practice Address - Fax:305-675-9244
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUXVIL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center