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701 Ohio Ave S Live Oak FL 32064-3816 | |
| (386) 330-5248 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Ohio Ave S, Live Oak, Florida |
| Authorized Official Name and Position | Richard Willis (PARTNER) |
| Authorized Official Contact | 9044212119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
701 Ohio Ave S Live Oak FL 32064-3816 Ph: () - | 701 Ohio Ave S Live Oak FL 32064-3816 Ph: (386) 330-5248 |
| NPI Number | 1326196924 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326196924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
Acv Community Services Ll Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10820 Marvin E Jones Blvd, Live Oak, FL 32060 Phone: 386-658-5341 | |
Horizon Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Demorest St Se, Live Oak, FL 32064 Phone: 386-362-5437 Fax: 386-362-5440 | |