Shands Live Oak Medical Group

LBN: Live Oak Hma, Llc
Shands Live Oak Medical Group is an health care organization with primary practice located at 1426 Canyon Ave Ne Unit B, Live Oak FL 32064-4832. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Live Oak Hma, Llc can be contacted via phone (386) 208-0537, or through Lalor, Paula via phone (615) 925-4565.

Contact Information

Primary practice address
1426 Canyon Ave Ne Unit B Live Oak FL 32064-4832
Phone: (386) 208-0537
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lalor, Paula
Phone: (615) 925-4565

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 4314 Florida

Profile Details

NPI number 1669568499
LBN Legal business name Live Oak Hma, Llc
DBA Doing business as Shands Live Oak Medical Group
Authorized official Lalor, Paula
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Feb 23rd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669568499 NPPES
Florida MEDICAID 660120100
Florida Other CE9137
Florida MEDICAID 660120101

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