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Organization
LIVE OAK HMA, LLC
Active
Organization
LIVE OAK HMA, LLC
Active
Other names
Shands Medical Group of Live Oak-RHC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P WRIGHT (SR. DIRECTOR)
(615) 465-7587
Entity
Organization
Contact information
Practice address
1426 CANYON AVE NE, UNIT B, LIVE OAK, FL 32064-4832
(386) 208-0537
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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