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Organization

LIVE WELL MEDICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE CARTER (MANAGER)
(904) 621-8043
Entity
Organization

Contact information

Practice address
1409 KINGSLEY AVE, BUILDING 2, ORANGE PARK, FL 32073-4537
(904) 621-8043
(904) 621-8068
Mailing address
1409 KINGSLEY AVE, BUILDING 2, ORANGE PARK, FL 32073-4537
(904) 621-8043
(904) 621-8068

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
10/14/2013
Last updated
10/14/2013
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