Living Well Wellness Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIVING WELL WELLNESS CENTER

Practice address

3975 S Orange Blossom TRL
Suite 105
Orlando, FL 32839-7903

Phone

(407) 429-4111

NPI assigned

Sep 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Evan Neptune

Title

Manager

Phone

(407) 429-4111

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Living Well Wellness Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1174072466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397903",
            "telephone_number": "407-429-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397903",
            "telephone_number": "407-429-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "NEPTUNE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-429-4111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4111",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Living Healthy Nutrition Consultants, LLC
• Living Waters Wellness Center Inc
• Living Well
• Living Well
• Living Well Acupuncture
• Livingston Medical Group LLC
• Antwoinette Livingston
• Denise M Livingston, ARNP
• Floyd R. Livingston Jr., MD
• Taylor Marie Livingston, CPNP

• Community/Behavioral Health Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.