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Live Oak Hma, Llc
Rural Health Clinic/Center in Live Oak, Florida
NPI 1669568499

Live Oak Hma, Llc is a Rural Health Clinic/Center based in Live Oak, FL and is specialized in Rural Health. Live Oak Hma, Llc practices in Live Oak, FL. The NPI Number for Live Oak Hma, Llc is 1669568499 and holds a License No. 4314 (Florida).

The current practice location address for Live Oak Hma, Llc is 1426 Canyon Ave Ne, Live Oak, FL and can be reached out via phone at 386-208-0537.

Location: 1426 Canyon Ave Ne, Live Oak, FL, 32064-4832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669568499
Provider Name
Live Oak Hma, Llc
Credential
Provider Entity Type
Organization
Address
1426 Canyon Ave Ne, Live Oak, FL, 32064-4832
Phone Number
386-208-0537
Fax Number
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
660120100 05 FL
CE9137 01 FL MEDICARE RAIL ROAD
660120101 05 FL
institution
Provider Business Practice Location Address Details
Address
1426 Canyon Ave Ne
City
Live Oak
State
Florida
Zip
32064-4832
Phone Number
386-208-0537
Fax Number
person
Provider Business Mailing Address Details
Address
1426 Canyon Ave Ne
City
Live Oak
State
Florida
Zip
32064-4832
Phone Number
386-208-0537
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
4314 (Florida)
Definition
Definition to come...
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