Organization · Type 2 NPI

Living the Dream 63 LLC

Adult Medicine Physician · Tallahassee, FL

NPI number 1174104277 Active

Practice location

3182 Dunbar Ln
Tallahassee, FL 32311-3362

Fax (850) 329-2195

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1174104277

Living the Dream 63 LLC's National Provider Identifier is 1174104277, issued on Apr 20, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tallahassee, FL. The record was last updated on Apr 20, 2021.