Individual
DR. RICHARD G. LIVERNOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5101 N DAVIS HWY, SUITE B, PENSACOLA, FL 32503-2034
(850) 438-1277
(850) 438-1278
Mailing address
5101 N DAVIS HWY, SUITE B, PENSACOLA, FL 32503-2034
(850) 438-1277
(850) 438-1278
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME76798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454661776A
—
GA
Enumeration date
07/07/2006
Last updated
12/21/2012
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