Health&Life Evolution LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

HEALTH&LIFE EVOLUTION LLC

Practice address

14047 Walcott Ave
Orlando, FL 32827-7471

Phone

(407) 272-8505

NPI assigned

Mar 2, 2021

Last updated

Mar 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel Josue Vallenilla, SA-C

Title

President

Phone

(407) 272-8505

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel Josue Vallenilla Tolosa, SA-C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1619525714
  NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1457946485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14047 WALCOTT AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277471",
            "telephone_number": "407-272-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14047 WALCOTT AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277471",
            "telephone_number": "407-272-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH&LIFE EVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "VALLENILLA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "JOSUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-272-8505",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.