Organization
LONGEVITY LIVES LLC
Active
Other names
Livdynamic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY E LYNCH (MANAGER)
(786) 401-6722
Entity
Organization
Contact information
Practice address
106 BREEZE HILL LN, PALM COAST, FL 32137-3609
(702) 325-2119
(786) 401-6041
Mailing address
106 BREEZE HILL LN, PALM COAST, FL 32137-3609
(702) 325-2119
(786) 401-6041
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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