Individual
DR. JOHN T LIVECCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4944
(352) 273-8778
(352) 273-7402
Mailing address
PO BOX 100284, GAINESVILLE, FL 32610-0284
(352) 273-8778
(352) 273-7402
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME86805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025052600
—
FL
05
—
266163200
—
FL
Enumeration date
04/06/2006
Last updated
06/02/2020
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