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Live Well M.d.
Preferred Provider Organization in Jacksonville, Florida
NPI 1992019640

Live Well M.d. is a Preferred Provider Organization based in Jacksonville, FL. Live Well M.d. practices in Jacksonville, FL. The NPI Number for Live Well M.d. is 1992019640 and holds a License No. (Florida).

The current practice location address for Live Well M.d. is 11512 Lake Mead Ave, Jacksonville, FL and can be reached out via phone at 904-807-9747 and via fax at 904-807-9746. You can also correspond with Live Well M.d. through the mailing address at 11512 LAKE MEAD AVE, JACKSONVILLE, FL - 32256-9680 (mailing address contact number: 904-807-9747).

Location: 11512 Lake Mead Ave, Jacksonville, FL, 32256-9680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992019640
Provider Name
Live Well M.d.
Credential
Provider Entity Type
Organization
Address
11512 Lake Mead Ave, Jacksonville, FL, 32256-9680
Phone Number
904-807-9747
Fax Number
904-807-9746
Provider Enumeration Date
08/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11512 Lake Mead Ave
City
Jacksonville
State
Florida
Zip
32256-9680
Phone Number
904-807-9747
Fax Number
904-807-9746
person
Provider Business Mailing Address Details
Address
11512 Lake Mead Ave
City
Jacksonville
State
Florida
Zip
32256-9680
Phone Number
904-807-9747
Fax Number
904-807-9746
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
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Definition
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.
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