MEDICARE: LUMORACLEAR INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1083570881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMORACLEAR INC.

Provider Business Mailing Address
First Line	:	222 N BRIGHTON DR
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-5909
Country	:	US
Telephone Number	:	386-264-9454
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 N BRIGHTON DR
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32127-5909
Country	:	US
Telephone Number	:	386-264-9454
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER / CEO
Name	:	MR. YUSUF ISA
Credential	:
Telephone Number	:	386-264-9454

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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Directions to “LUMORACLEAR INC. ” Practice Location

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