Provider Demographics
NPI:1205506680
Name:GLOWING HEALTHCARE LLC
Entity type:Organization
Organization Name:GLOWING HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:EUGENIA
Authorized Official - Last Name:MAIORI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-756-4157
Mailing Address - Street 1:430 S DIXIE HWY STE 207
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2200
Mailing Address - Country:US
Mailing Address - Phone:305-381-0485
Mailing Address - Fax:305-564-1660
Practice Address - Street 1:430 S DIXIE HWY STE 207
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2200
Practice Address - Country:US
Practice Address - Phone:053-810-4853
Practice Address - Fax:305-564-1660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty