Healthcare Provider Details

I. General information

NPI: 1952223703
Provider Name (Legal Business Name): LUMIRA PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 ALAFAYA TRL STE 1005
OVIEDO FL
32765-9100
US

IV. Provider business mailing address

1635 ONONDAGA DR # 1005
GENEVA FL
32732-9536
US

V. Phone/Fax

Practice location:
  • Phone: 321-252-6065
  • Fax: 321-361-4106
Mailing address:
  • Phone: 321-252-6065
  • Fax: 321-361-4106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IRISSA W ROSARIO
Title or Position: OWNER
Credential: MD
Phone: 321-252-6065