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Individual

DENISE M LIVINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4215 EDGEWATER DR, ORLANDO, FL 32804-2206
(407) 539-2000
(407) 398-0050
Mailing address
388 MUDDY CREEK LN, ORMOND BEACH, FL 32174-4895
(217) 273-4459

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9299567
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125716000
FL
01
ID468X
QSFL PTAN
FL
01
UO692
MEDICARE HF
FL
Enumeration date
11/01/2012
Last updated
03/25/2025
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