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Live Oak Hma Llc
Rural Health Clinic/Center in Jasper, Florida
NPI 1922409010

Live Oak Hma Llc is a Rural Health Clinic/Center based in Franklin, FL and is specialized in Rural Health. Live Oak Hma Llc practices in Jasper, FL. The NPI Number for Live Oak Hma Llc is 1922409010 and holds a License No. 4314 (Florida).

The current practice location address for Live Oak Hma Llc is 413 5Th Ave Nw Ste A, Jasper, FL and can be reached out via phone at 386-292-8132 and via fax at 386-792-7745.

Location: 413 5Th Ave Nw Ste A, Jasper, FL, 37068-9022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922409010
Provider Name
Live Oak Hma Llc
Credential
Provider Entity Type
Organization
Address
413 5Th Ave Nw Ste A, Jasper, FL, 37068-9022
Phone Number
386-292-8132
Fax Number
386-792-7745
Provider Enumeration Date
09/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016770200 05 FL
institution
Provider Business Practice Location Address Details
Address
413 5Th Ave Nw Ste A
City
Jasper
State
Florida
Zip
32052-7801
Phone Number
386-292-8132
Fax Number
386-792-7745
person
Provider Business Mailing Address Details
Address
413 5Th Ave Nw Ste A
City
Jasper
State
Florida
Zip
32052-7801
Phone Number
386-292-8132
Fax Number
386-792-7745
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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