Individual
PEGGY LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 HORNE AVE SW, LIVE OAK, FL 32064-2024
(386) 678-1085
Mailing address
199 HORNE AVE SW, LIVE OAK, FL 32064-2024
(386) 678-1085
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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