Active NPI
My Doctors Live Network
- Multi-Specialty Clinic/Center
- Lakeland, FL
National Provider Identifier
1144891367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- MY DOCTORS LIVE NETWORK
- Practice address
- 170 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2633 - Phone
- (800) 838-8840
- NPI assigned
- Jul 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel V Ollivierre-Agard, MD
- Title
- Owner
- Phone
- (800) 838-8840
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | |||
| General Practice Physician | 208D00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
170 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2633
Mailing address
170 Fitzgerald Rd Ste 1
Lakeland, FL 33813-2633
Phone (800) 838-8840
National Provider Directory
National Provider DirectoryLocations
210 N Missouri Ave
Unit 809
Lakeland, FL 33802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659312000000",
"number": "1144891367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 FITZGERALD RD STE 1",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132633",
"telephone_number": "800-838-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 FITZGERALD RD STE 1",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132633",
"telephone_number": "800-838-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY DOCTORS LIVE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-08",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A",
"authorized_official_last_name": "OLLIVIERRE-AGARD",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-838-8840",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Musculoskeletal Institute Chartered (Florida Orthopaedic Institute)
- Sarah Nicole Maguire Musial, MS, LMHC
- Morgan Musselwhite, DPT
- Musser & Richards L L C
- Lawrence B Musser, DDS
- My Gentle Touch Homecare Services
- My Heavenly Helpers, LLC
- My Nurse Home Health LLC
- Elizabeth A Myers, RN
- Jennifer Lynn Myers, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.