# HEALTH&LIFE EVOLUTION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457946485
- **Authorized official:** JOEL JOSUE VALLENILLA SA-C (PRESIDENT)
- **Authorized official phone:** (407) 272-8505

## Contact information

- **Practice address:** 14047 WALCOTT AVE, ORLANDO, FL 32827-7471
- **Practice address phone:** (407) 272-8505
- **Mailing address:** 14047 WALCOTT AVE, ORLANDO, FL 32827-7471
- **Mailing address phone:** (407) 272-8505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 03/05/2021