Organization
LIVING WATER WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO PEREZ APRN (PROVIDER MANAGER)
(305) 905-3042
Entity
Organization
Contact information
Practice address
2400 E COMMERCIAL BLVD STE 218, FT LAUDERDALE, FL 33308-4022
(305) 334-6163
(786) 513-3811
Mailing address
13762 W STATE ROAD 84 # 95, DAVIE, FL 33325-5305
(305) 334-6163
(786) 513-3811
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/28/2025
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