Individual
BLAKE ALLEN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(407) 303-7283
(407) 303-0473
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 265-0239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9294439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012493000
—
FL
Enumeration date
06/19/2014
Last updated
06/05/2025
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