Organization
LIVING WELL WELLNESS CENTER
Active
Organization
LIVING WELL WELLNESS CENTER
Active
Other names
Living Well Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVAN NEPTUNE (MANAGER)
(407) 429-4111
Entity
Organization
Contact information
Practice address
3975 S ORANGE BLOSSOM TRL, SUITE 105, ORLANDO, FL 32839-7903
(407) 429-4111
Mailing address
3975 S ORANGE BLOSSOM TRL, SUITE 105, ORLANDO, FL 32839-7903
(407) 429-4111
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4111
—
FL
Enumeration date
09/27/2016
Last updated
09/27/2016
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