Live Oak Hma, LLC

NPI #1720591613 in Live Oak, Florida

Provider Information

NPI Number
1720591613
Entity Type
Organization
Organization Name
Live Oak Hma, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
LIVE OAK HMA, LLC
Primary Specialty
Medicare Defined Swing Bed Unit
Enumeration Date
Nov 14, 2017
Last Updated
Nov 14, 2017

Practice Location

Address
1100 11TH ST SW
State
Florida
ZIP Code
32064-3608
Phone
(386) 362-0800

Authorized Official

Name
PAULA LALOR
Title
DIRECTOR / DELEGATED OFFICIAL
Phone
(615) 925-4565

Specialties & Taxonomy Codes

Specialty
Medicare Defined Swing Bed Unit

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