# LIVE OAK HMA LLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Hamilton Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922409010
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (615) 925-4565

## Contact information

- **Practice address:** 413 5TH AVE NW STE A, JASPER, FL 32052-7801
- **Practice address phone:** (386) 292-8132
- **Practice address fax:** (386) 792-7745
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 778-8196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 4314 | FL | Yes |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 10/16/2019