Fina, Lera Liv

Fina, Lera Liv is an sole proprietor health care provider with primary practice located at 22455 Flora Parke Xing , Fernandina Beach FL 32034-8000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fina, Lera Liv can be contacted via phone (904) 572-1884.

Contact Information

Primary practice address
22455 Flora Parke Xing Fernandina Beach FL 32034-8000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 66488 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS 10686 Florida

Profile Details

NPI number 1902079635
LBN Legal business name Fina, Lera Liv
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2008
Last updated Aug 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902079635 NPPES
Georgia MEDICAID 202IO12485

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