JOHN RUSSELL LIVENGOOD

FORT LAUDERDALE, FL
NPI1104911205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME91299)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
-- JOHN RUSSELL LIVENGOOD M.D.
780 SW 24TH ST MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL 33315-2643
Phone number: 954-467-4822
Mailing Address
-- JOHN RUSSELL LIVENGOOD M.D.
780 SW 24TH ST MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL 33315-2643
Phone number: 954-467-4822
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