Organization
LIV SPECIALTY CARE FL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOODRUFF HALL BAUM (CEO)
(646) 568-0193
Entity
Organization
Contact information
Practice address
410 BLANDING BLVD STE 6B, ORANGE PARK, FL 32073-5065
(904) 775-7238
(904) 913-4304
Mailing address
4900 CENTENNIAL BLVD STE 300, NASHVILLE, TN 37209-1105
(844) 509-1404
(844) 278-8635
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
04/23/2026
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