Organization · Type 2 NPI
Live Oak Hma LLC
Rural Health Clinic/Center · Jasper, FL
NPI number
1922409010
Active
Practice location
413 5th Ave NW Ste A
Jasper, FL 32052-7801
Fax (386) 792-7745
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 4314 (FL) |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Jasper
About NPI 1922409010
Live Oak Hma LLC's National Provider Identifier is 1922409010, issued on Sep 9, 2014. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Jasper, FL. The record was last updated on Oct 16, 2019.