Organization Active NPI

Livia Medical Group

  • Primary Care Nurse Practitioner
  • Plant City, FL
National Provider Identifier
1912701319
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
LIVIA MEDICAL GROUP
Practice address
1711 Tropical Oasis Ave
Plant City, FL 33565-5994
Phone
(954) 914-8474
Fax
(407) 887-1490
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Julia Bennett, ARNPNPI 1700511151
Title
Owner
Phone
(850) 443-4690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1711 Tropical Oasis Ave
Plant City, FL 33565-5994

Mailing address

1711 Tropical Oasis Ave
Plant City, FL 33565-5994
Phone (954) 914-8474

Other names 1

  • Livia Med Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250821002631 FL Part B Supplier - Clinic/Group Practice 1557861846 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Cloud, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1912701319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 TROPICAL OASIS AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655994",
            "telephone_number": "954-914-8474",
            "fax_number": "407-887-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 TROPICAL OASIS AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655994",
            "telephone_number": "954-914-8474",
            "fax_number": "407-887-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVIA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-443-4690",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livia Med",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Livia Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.