Live Oak Family Practice, LLC

NPI #1134892201 in Live Oak, Florida

Provider Information

NPI Number
1134892201
Entity Type
Organization
Organization Name
Live Oak Family Practice, LLC
Primary Specialty
Nurse Practitioner - Primary Care
Enumeration Date
Jul 26, 2021
Last Updated
Jul 26, 2021

Practice Location

Address
1304 OHIO AVE S
State
Florida
ZIP Code
32064-4156
Phone
(386) 364-0776

Authorized Official

Name
MELISSA F PETERS, APRN
Title
OWNER
Phone
(386) 688-7813

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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