Individual
MRS. LUCIOL D LIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 N DOVERPLUM AVE, KISSIMMEE, FL 34758-3309
(407) 943-8600
(833) 464-3641
Mailing address
1877 FORTUNE RD, KISSIMMEE, FL 34744-4428
(407) 943-8600
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
19121
PR
208D00000X
General Practice Physician
Primary
ACN1565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121624600
—
FL
Enumeration date
02/13/2015
Last updated
04/26/2024
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