Live Well MD
Live Well MD is a Preferred Provider Organization in Jacksonville, Florida. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
11512 Lake Mead Ave Bldg 521Jacksonville, FL 32256-9680
Phone: (904) 807-9747
Fax: (904) 807-9746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|
Record details
| NPI number | 1992019640 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alex Moore — Doctor · (904) 807-9747 |
| NPI enumerated | August 4, 2010 |
| Last updated in NPPES | August 4, 2010 |
| Mailing address | 11512 Lake Mead Ave, Building 521, Jacksonville, FL 32256-9680 |
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