Individual
JEFFREY C LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1613 HARRISON PKWY, BLDG. C - SUITE 200, SUNRISE, FL 33323-2896
(800) 437-2672
(954) 598-0908
Mailing address
2202 STATE AVE, SUITE 103, PANAMA CITY, FL 32405-7601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35-084222
OH
207V00000X
Obstetrics & Gynecology Physician
39750
KY
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
35-084222
OH
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
39750
KY
207VM0101X
Maternal & Fetal Medicine Physician
35-084222
OH
207VM0101X
Maternal & Fetal Medicine Physician
39750
KY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
9500394
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2491987
—
OH
01
—
52316
BCBSNC
NC
05
—
5911035
—
NC
05
—
64081185
—
KY
Enumeration date
07/07/2006
Last updated
01/15/2016
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