Organization
LIVING WATERS WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVETTE MARTINEZ A.P. (PRESIDENT)
(407) 580-5768
Entity
Organization
Contact information
Practice address
5840 S SEMORAN BLVD STE B, ORLANDO, FL 32822-4808
(407) 580-5768
Mailing address
5840 S SEMORAN BLVD STE B, ORLANDO, FL 32822-4808
(407) 580-5768
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 2758
FL
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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