Organization
LIVIA MEDICAL GROUP
Active
Other names
Livia Med
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA BENNETT ARNP (OWNER)
(850) 443-4690
Entity
Organization
Contact information
Practice address
2725 PONDS TRAIL, SAINT. CLOUD, FL 34769
(954) 914-8474
(407) 887-1490
Mailing address
1711 TROPICAL OASIS AVE, PLANT CITY, FL 33565-5994
(954) 914-8474
(407) 887-1490
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/20/2026
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