Organization · Type 2 NPI

Live Love Life, Inc

Community Health Clinic/Center · Jacksonville, FL

NPI number 1265034227 Active

Practice location

1951 Boulevard
Jacksonville, FL 32206-3527

Call (904) 640-7954 Map

Fax (386) 272-7938

Mailing address

1700 Ridgewood Ave, Suite I
Holly Hill, FL 32117-1782

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Voluntary or Charitable Agency	251V00000X	None listed
Community Health Clinic/Center Primary	261QC1500X	None listed
State or Local Public Health Clinic/Center	261QP0905X	None listed

Community Health Clinic/Center: Definition to come...

2 other providers at this address

Pediatric Associates of Ne Florida, LLCPediatrics Physician Jacksonville, FL NPI 1316367667
Alfredo Romeu, MDPediatrics Physician Jacksonville, FL NPI 1144253667

Other community health clinic/center providers in Jacksonville

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NPI record

NPI: 1265034227
Entity type: Organization (Type 2)
Issued: Nov 13, 2020
Last updated: Apr 25, 2024
Status: Active
Subpart: Yes of Live Love Life, Inc

Other names

<unavail>
Live Love Life, Jacksonville · doing business as

Authorized official

Mr. Mark A. Walczyk
Chief Operating Officer
(585) 233-0105

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265034227

Live Love Life, Inc's National Provider Identifier is 1265034227, issued on Nov 13, 2020. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 25, 2024.