Provider Demographics
NPI:1396330650
Name:DLUXE MEDSPA & WELLNESS
Entity type:Organization
Organization Name:DLUXE MEDSPA & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SHERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DORLEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-251-1130
Mailing Address - Street 1:9045 SW 17TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-7602
Mailing Address - Country:US
Mailing Address - Phone:954-251-1130
Mailing Address - Fax:
Practice Address - Street 1:9931 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2397
Practice Address - Country:US
Practice Address - Phone:954-768-3112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty