Provider Demographics
NPI:1083880462
Name:LUNA, ADONIS
Entity Type:Individual
Prefix:
First Name:ADONIS
Middle Name:
Last Name:LUNA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 NEPTUNE BAY CIR
Mailing Address - Street 2:APT 5
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-7032
Mailing Address - Country:US
Mailing Address - Phone:321-286-6488
Mailing Address - Fax:
Practice Address - Street 1:1100 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-3582
Practice Address - Country:US
Practice Address - Phone:407-892-1256
Practice Address - Fax:407-892-1928
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy