# INJURY INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821533316
- **Authorized official:** DR. MARK ANTHONY LIVECCHI M.D. (OWNER)
- **Authorized official phone:** (585) 750-5348

## Contact information

- **Practice address:** 944 ARLINGTON RD N, JACKSONVILLE, FL 32211-5956
- **Practice address phone:** (904) 425-9044
- **Practice address fax:** (904) 425-9094
- **Mailing address:** 793 SANDPIPER LN, PONTE VEDRA, FL 32082-2726
- **Mailing address phone:** (904) 425-9044
- **Mailing address fax:** (904) 425-9094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | NULL | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | — | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 12/20/2016
- **Last updated:** 12/20/2016