Organization
LIVINGSTON MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MANTOR (MANAGER)
(407) 329-2571
Entity
Organization
Contact information
Practice address
200 E ROBINSON ST STE 1120, ORLANDO, FL 32801-1962
(407) 329-2571
Mailing address
200 E ROBINSON ST STE 1120, ORLANDO, FL 32801-1962
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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