NPI | 1982946943 |
---|---|
Doing Business As | LIVE WELL MEDICAL CENTERS LLC |
Entity Type | Organization |
Authorized Contact | MARIA J PUCCI President/Member 407-455-6925 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME0069445) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2018-04-16 |