John Russell Livengood, M.D.

NPI #1104911205 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1104911205
Entity Type: Individual
Name: John Russell Livengood, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 780 SW 24TH ST
Address 2: MEDICAL ADMINISTRATION
City: Fort Lauderdale
State: Florida
ZIP Code: 33315-2643
Phone: (954) 467-4822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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