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Organization
LIV SPECIALTY CARE FL, PA
Active
Organization
LIV SPECIALTY CARE FL, PA
Active
Other names
Local Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
WOODRUFF HALL BAUM (CEO)
(646) 568-0193
Entity
Organization
Contact information
Practice address
410 BLANDING BLVD STE 6B, ORANGE PARK, FL 32073-5065
(904) 775-7238
(904) 913-4304
Mailing address
4900 CENTENNIAL BLVD STE 300, NASHVILLE, TN 37209-1105
(844) 509-1404
(844) 278-8635
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
08/24/2026
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