Live Oak Hma, LLC

NPI #1174921696 in Live Oak, Florida

Provider Information

NPI Number: 1174921696
Entity Type: Organization
Organization Name: Live Oak Hma, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 16, 2014
Last Updated: Dec 16, 2014

Practice Location

Address: 1426 CANYON AVE NE
Address 2: UNIT B
City: Live Oak
State: Florida
ZIP Code: 32064-4832
Phone: (386) 208-0537

Authorized Official

Name: JAMES P WRIGHT
Title: SR. DIRECTOR
Phone: (615) 465-7587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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