Organization · Type 2 NPI

Live Oak Family Practice, LLC

Primary Care Nurse Practitioner · Live Oak, FL

NPI number 1134892201 Active

Practice location

1304 Ohio Ave S
Live Oak, FL 32064-4156

Mailing address

10061 County Road 49
Live Oak, FL 32060-7686

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1134892201

Live Oak Family Practice, LLC's National Provider Identifier is 1134892201, issued on Jul 26, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Live Oak, FL. The record was last updated on Jul 26, 2021.