Organization
LIVEACTIVE PRIMARY CARE TAMPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE BRETHOWR (CEO/AUTHORIZED OFFICIAL)
(913) 549-3884
Entity
Organization
Contact information
Practice address
8849 HAWBUCK ST STE A, NEW PORT RICHEY, FL 34655-9805
(913) 549-3884
Mailing address
PO BOX 1269, BELLEVUE, NE 68005-1269
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us