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Live Young Pllc
Primary Care Clinic/Center in Port St Lucie, Florida
NPI 1073962114

Live Young Pllc is a Primary Care Clinic/Center based in Port St Lucie, FL and is specialized in Primary Care. Live Young Pllc practices in Port St Lucie, FL. The NPI Number for Live Young Pllc is 1073962114 and holds a License No. CH11346 (Florida).

The current practice location address for Live Young Pllc is 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL and can be reached out via phone at 772-212-1111 and via fax at 772-212-0201.

Location: 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL, 34984-8920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073962114
Provider Name
Live Young Pllc
Credential
Provider Entity Type
Organization
Address
1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL, 34984-8920
Phone Number
772-212-1111
Fax Number
772-212-0201
Provider Enumeration Date
06/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1680 Sw Saint Lucie West Blvd Ste 204
City
Port St Lucie
State
Florida
Zip
34986-1927
Phone Number
772-212-1111
Fax Number
772-212-0201
person
Provider Business Mailing Address Details
Address
1680 Sw Saint Lucie West Blvd Ste 204
City
Port St Lucie
State
Florida
Zip
34986-1927
Phone Number
772-212-1111
Fax Number
772-212-0201
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
CH11346 (Florida)
Definition
Definition to come...
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