Russell Doc Livwel, AADP
Individual provider Active NPI Naturopath · Boca Raton, FL
NPI 1285220152 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1285220152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 1801 NW 1St Ave Ste B
Boca Raton, FL 33432-1711 - Phone
- (561) 672-5168
- NPI assigned
- Dec 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Oncology LLC | Naturopath | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | Yes |
Addresses
Primary practice location
1801 NW 1St Ave Ste B
Boca Raton, FL 33432-1711
Mailing address
1801 NW 1St Ave Ste B
Boca Raton, FL 33432-1711
Phone (561) 672-5168
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.