Healthcare Provider Details

I. General information

NPI: 1760347462
Provider Name (Legal Business Name): LIVINGWELL HEALTH CARE HOMESTEAD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 N KROME AVE STE 202
HOMESTEAD FL
33030-4455
US

IV. Provider business mailing address

950 N KROME AVE STE 202
HOMESTEAD FL
33030-4455
US

V. Phone/Fax

Practice location:
  • Phone: 305-404-5184
  • Fax: 305-404-5183
Mailing address:
  • Phone: 305-404-5184
  • Fax: 305-404-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. DENIS NUNEZ SANCHEZ
Title or Position: MD
Credential: APRN
Phone: 305-404-5184