LIVE WELL M.D.

JACKSONVILLE, FL
NPI1992019640
Entity TypeOrganization
Authorized ContactALEX MOORE
Doctor
904-807-9747
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2010-08-04
Last Update Date2010-08-04
Business Address
LIVE WELL M.D.
11512 LAKE MEAD AVE BUILDING 521
JACKSONVILLE, FL 32256-9680
Phone number: 904-807-9747
Mailing Address
LIVE WELL M.D.
11512 LAKE MEAD AVE BUILDING 521
JACKSONVILLE, FL 32256-9680
Phone number: 904-807-9747
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