Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Live Oak Family Practice, LLC

Organization Primary Care Nurse Practitioner · NPI 1134892201

Live Oak Family Practice, LLC is a Primary Care Nurse Practitioner in Live Oak, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1304 Ohio Ave S
Live Oak, FL 32064-4156
Phone: (386) 364-0776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1134892201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Peters — Owner · (386) 688-7813
NPI enumeratedJuly 26, 2021
Last updated in NPPESJuly 26, 2021
Certification dateJuly 26, 2021
Mailing address10061 County Road 49, Live Oak, FL 32060-7686

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