Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIVE LOVE LIFE, INC
Active
Organization
LIVE LOVE LIFE, INC
Active
Other names
Live Love Life, Daytona, Live Love Life, Jacksonville, Live Love Life, DeLand, Live Love Life, Ormond, Live Love Life Orlando, Live Love Life, Universal Orlando, Live Love Life, Southside Jacksonville, LIVE LOVE LIFE, HOLLY HILL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A. WALCZYK (CHIEF OPERATING OFFICER)
(585) 233-0105
Entity
Organization
Contact information
Practice address
1702 RIDGEWOOD AVE STE J, HOLLY HILL, FL 32117-1783
(904) 458-5444
(386) 760-7649
Mailing address
1700 RIDGEWOOD AVE STE I, HOLLY HILL, FL 32117-1782
(904) 458-5444
(386) 760-7649
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QP0905X
State or Local Public Health Clinic/Center
—
NULL
Other
Enumeration date
06/07/2020
Last updated
04/25/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers