Livingston Medical Group LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

LIVINGSTON MEDICAL GROUP LLC

Practice address

200 E Robinson St Ste 1120
Orlando, FL 32801-1962

Phone

(407) 329-2571

NPI assigned

Mar 13, 2025

Organization subpart

No

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

Authorized official

Name

David Mantor

Title

Manager

Phone

(407) 329-2571

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1609676360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ROBINSON ST STE 1120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ROBINSON ST STE 1120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011962",
            "telephone_number": "407-329-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "MANTOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-329-2571"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Waters Wellness Center Inc
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• Antwoinette Livingston
• Denise M Livingston, ARNP
• Floyd R. Livingston Jr., MD
• Taylor Marie Livingston, CPNP
• Ray Benzon Dennis David Liwag

• Neurology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.