| Live Oak Immediate Care Center Llc | |
|
1150 Us Highway 41 Nw Jasper FL 32052-5888 | |
| (615) 373-7600 | |
| Not Available |
| Full Name | Live Oak Immediate Care Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1150 Us Highway 41 Nw, Jasper, Florida |
| Authorized Official Name and Position | Mickey Pickler (VP) |
| Authorized Official Contact | 8055232117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Immediate Care Center Llc 1150 Us Highway 41 Nw Jasper FL 32052-5888 Ph: () - | Live Oak Immediate Care Center Llc 1150 Us Highway 41 Nw Jasper FL 32052-5888 Ph: (615) 373-7600 |
| NPI Number | 1407085244 |
|---|---|
| Provider Enumeration Date | 07/14/2009 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407085244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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