Individual
LUKE WILLIAM LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7300
Mailing address
2863 GOLDEN POND BLVD, ORANGE PARK, FL 32073-7665
(870) 613-7122
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
AR
Other
Enumeration date
04/30/2025
Last updated
06/08/2025
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