Organization
LIVE WELL MEDICAL CENTERS LLC
Active
Other names
Live Well Medical Centers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA J PUCCI (PRESIDENT/MEMBER)
(407) 455-6925
Entity
Organization
Contact information
Practice address
6001 VINELAND RD., SUITE 117, ORLANDO, FL 32819
(407) 455-6925
(407) 455-6924
Mailing address
6001 VINELAND RD., SUITE 117, ORLANDO, FL 32819
(407) 455-6925
(407) 455-6924
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ME0069445
FL
Other
Enumeration date
03/18/2013
Last updated
04/16/2018
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