LIVEACTIVE PRIMARY CARE TAMPA, LLC

NEW PORT RICHEY, FL
NPI1558241588
Entity TypeOrganization
Authorized ContactSHANE BRETHOWR
CEO/Authorized Official
913-549-3884
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2025-09-02
Last Update Date2025-09-02
Business Address
LIVEACTIVE PRIMARY CARE TAMPA, LLC
8849 HAWBUCK ST STE A
NEW PORT RICHEY, FL 34655-9805
Phone number: 913-549-3884
Mailing Address
LIVEACTIVE PRIMARY CARE TAMPA, LLC
PO BOX 1269
BELLEVUE, NE 68005-1269
Phone number:
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