Provider Demographics
NPI:1427231935
Name:MIGUN CENTRAL, LLC
Entity Type:Organization
Organization Name:MIGUN CENTRAL, LLC
Other - Org Name:A BETTER WAY TO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ANCONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-956-7777
Mailing Address - Street 1:1954 DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-4045
Mailing Address - Country:US
Mailing Address - Phone:321-956-7777
Mailing Address - Fax:321-956-2977
Practice Address - Street 1:1954 DAIRY RD
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-4045
Practice Address - Country:US
Practice Address - Phone:321-956-7777
Practice Address - Fax:321-956-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty