Live Well M.D.

LBN: Live Well M.D.
Live Well M.D. is an health care organization with primary practice located at 11512 Lake Mead Ave Building 521, Jacksonville FL 32256-9680. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Live Well M.D. can be contacted via phone (904) 807-9747, or through Moore, Alex via phone (904) 807-9747.

Contact Information

Primary practice address
11512 Lake Mead Ave Building 521 Jacksonville FL 32256-9680
Phone: (904) 807-9747
Fax: (904) 807-9746
Website:
Map and Directions
Authorized official contact:
Name: Moore, Alex Doctor of Medicine (MD)
Phone: (904) 807-9747

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1992019640
LBN Legal business name Live Well M.D.
DBA Doing business as
Authorized official Moore, Alex Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2010
Last updated Aug 4th, 2010 - about 14 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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