LIVE OAK FAMILY PRACTICE, LLC is a primary care nurse practitioner in Live Oak, FL. LIVE OAK FAMILY PRACTICE, LLC NPI is 1134892201. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1304 OHIO AVE S
LIVE OAK, FL
ZIP 32064-156
Phone: (386) 364-0776
The provider's authorized official is Melissa F Peters .
The authorized official title is Owner and has the following contact phone number (386) 688-7813.
The CLIA number assigned to this NPI record is 10D2233592 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/26/2021 and was last updated on 7/26/2021.