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1134892201
LIVE OAK FAMILY PRACTICE, LLC
LIVE OAK, FL
NPI
1134892201
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Entity Type
Organization
Authorized Contact
MELISSA F PETERS
Owner
386-688-7813
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2021-07-26
Last Update Date
2021-07-26
Business Address
LIVE OAK FAMILY PRACTICE, LLC
1304 OHIO AVE S
LIVE OAK, FL 32064-4156
Phone number: 386-364-0776
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Mailing Address
LIVE OAK FAMILY PRACTICE, LLC
10061 COUNTY ROAD 49
LIVE OAK, FL 32060-7686
Phone number: 386-688-7813
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