Healthcare Provider Details

I. General information

NPI: 1760301766
Provider Name (Legal Business Name): LUMORI CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2370 ALBURY AVE
DELTONA FL
32738-2524
US

IV. Provider business mailing address

2370 ALBURY AVE
DELTONA FL
32738-2524
US

V. Phone/Fax

Practice location:
  • Phone: 407-990-2777
  • Fax:
Mailing address:
  • Phone: 407-990-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHELLE CORDERO
Title or Position: OWNER
Credential:
Phone: 407-990-2777