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Organization
LIVALITY INTEGRATED HEALTH
Active
Organization
LIVALITY INTEGRATED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYQUITTA PERRIER NP (CHIEF CLINICAL OFFICER/OWNER)
(706) 289-2647
Entity
Organization
Contact information
Practice address
1620 CORSAIR LN STE 201, MIDDLEBURG, FL 32068-8484
(904) 787-8850
(833) 740-3601
Mailing address
1075 OAKLEAF PLANTATION PKWY, SUITE 304, BOX 317, ORANGE PARK, FL 32065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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