Livewell Passport of Florida LLC
NPI #1922990548 in Inlet Beach, Florida
Provider Information
- NPI Number
- 1922990548
- Entity Type
- Organization
- Organization Name
- Livewell Passport of Florida LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 17, 2025
- Last Updated
- Jul 18, 2025
Practice Location
- Address
- 22606 PANAMA CITY BEACH PKWY
- City
- Inlet Beach
- State
- Florida
- ZIP Code
- 32413-1150
- Phone
- (804) 614-8619
Authorized Official
- Name
- MR. GEORGE BRUCE SOWERS III
- Title
- OWNER
- Phone
- (804) 614-8619
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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