Live Oak Immediate Care Center LLC
Organization Active NPI Family Medicine Physician · Jasper, FL
NPI 1407085244 · NPPES record last updated Mar 23, 2011
Key facts
- NPI
- 1407085244
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- LIVE OAK IMMEDIATE CARE CENTER LLC
- Practice address
- 1150 US Highway 41 NW
Jasper, FL 32052-5888 - Phone
- (615) 373-7600
- NPI assigned
- Jul 14, 2009
- Organization subpart
- No
Authorized official
- Name
- Mickey Pickler
- Title
- VP
- Phone
- (805) 523-2117
Practitioners 4
-
Lori G. Belote, ARNP
-
Yvonne Deaton Billups, ARNP
-
Daniel J Messcher, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1150 US Highway 41 NW
Jasper, FL 32052-5888
Mailing address
1150 US Highway 41 NW
Jasper, FL 32052-5888
Other providers in Jasper, FL
- Lore Johns
- Ashley Paige Jones
- Pamela Joy Kiselica
- Live Oak Hma LLC
- Live Oak Hma LLC
- Lovingcare Home Care Services LLC
- Latia Lumpkin
- Shannon Marie Luyando
- Jamyla Joanne Marshall
- Mary Hughes Transport
All providers in Jasper, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2011. 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.