LIVE WELL M.D.

Preferred Provider Organization

Active Organization
NPI: 1992019640

Practice Address

11512 LAKE MEAD AVE
BUILDING 521
Jacksonville, FL 32256

Phone: (904) 807-9747

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes -

Frequently Asked Questions

NPI 1992019640 is the National Provider Identifier for LIVE WELL M.D., a Preferred Provider Organization provider located in Jacksonville, FL. This NPI was enumerated on August 4, 2010.

Quick Facts

NPI
1992019640
Type
Organization
Enumerated
Aug 4, 2010
Last Updated
Aug 4, 2010

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