Liquid Logic RX

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

207L00000X Issued in FL

Legal business name

LIQUID LOGIC RX

Practice address

5105 Bowden Rd
Jacksonville, FL 32216-5907

Phone

(904) 374-0294

NPI assigned

Nov 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Antonietta Guzman

Title

Office Manager

Phone

(904) 374-0260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Adrian Carnevale, M.D.

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1225105299
  NPD (past)
• Laura June Solon Baker, M.D.

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1194892869
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1376095729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 BOWDEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165907",
            "telephone_number": "904-374-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 BOWDEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165907",
            "telephone_number": "904-374-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIQUID LOGIC RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ANTONIETTA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-374-0260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "207L00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258429800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Lipp, DC
• Colton Lippmann
• Tabatha Lipscomb
• Michelle Lipton, MD
• Ron Lipton
• Kalan Lis
• Lisa Helping Hands LLC
• Giolette Nicole Lisenko Torres, BCBA
• Ijoni Lisha, MD
• Valerie Lisiecki, MS, ATC, LAT

• Point of Service in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.