Organization
LIVE OAK HMA, LLC
Active
Parent organization
LIVE OAK HMA, LLC
Other names
Shands Live Oak Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVE OAK HMA, LLC
Authorized official
PAULA LALOR (DIRECTOR / DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1100 11TH ST SW, LIVE OAK, FL 32064-3608
(386) 362-0800
Mailing address
1100 11TH ST SW, LIVE OAK, FL 32064-3608
(386) 362-0800
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
4314
FL
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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