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Contact Information

MARK A LIVECCHI, MD
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL32218-7273
 Phone: 904-456-8297
 Fax: 904-244-9493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Spinal Cord Injury Medicine

2081P0004X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MARK A LIVECCHI · (Male)

NPI Number 1043205545
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2005
Last updated 04/19/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 130640
  • NY License # 200828
  • NY Medicaid 01892222
  • NY Other P00884039 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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