National Provider Identifier Database

LIVE WELL MD
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

LIVE WELL M.D.
11512 LAKE MEAD AVE
BUILDING 521
JACKSONVILLE, FL32256-9680
Phone: 904-807-9747
Fax: 904-807-9746
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for LIVE WELL M.D.

NPI Number 1992019640
Legal business name
LBN
LIVE WELL M.D.
Authorized official ALEX MOORE - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 08/04/2010
Last updated 08/04/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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