# AGEWLL LLC

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

## Provider details

- **NPI number:** 1477403442
- **Authorized official:** LUIS SUAREZ (OWNER/MANAGER)
- **Authorized official phone:** (954) 361-1065

## Contact information

- **Practice address:** 2645 EXECUTIVE PARK DR, WESTON, FL 33331-3624
- **Practice address phone:** (954) 361-1065
- **Practice address fax:** (954) 317-9915
- **Mailing address:** 2645 EXECUTIVE PARK DR, WESTON, FL 33331-3624
- **Mailing address phone:** (954) 361-1065
- **Mailing address fax:** (954) 317-9915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2026
- **Last updated:** 01/30/2026