Healthcare Provider Details

I. General information

NPI: 1699609990
Provider Name (Legal Business Name): LUMIKIDS PPEC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 E PARKER ST
LAKELAND FL
33801-1968
US

IV. Provider business mailing address

6128 MORNINGVIEW DR
LAKELAND FL
33813-2847
US

V. Phone/Fax

Practice location:
  • Phone: 863-202-7137
  • Fax: 863-202-7138
Mailing address:
  • Phone: 863-202-7137
  • Fax: 863-202-7138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State

VIII. Authorized Official

Name: CRISTIAN COCA FALCON
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-376-9274