NPIMap

Organization Active NPI

Live Well Medical Centers LLC

  • Preferred Provider Organization
  • Orlando, FL
National Provider Identifier
1982946943
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
ME0069445 Issued in FL
Legal business name
LIVE WELL MEDICAL CENTERS LLC
Practice address
6001 Vineland Rd.
Suite 117
Orlando, FL 32819
Phone
(407) 455-6925
Fax
(407) 455-6924
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Maria J Pucci
Title
President/Member
Phone
(407) 455-6925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X ME0069445 FL Primary

Addresses

Primary practice location

6001 Vineland Rd.
Suite 117
Orlando, FL 32819

Mailing address

6001 Vineland Rd.
Suite 117
Orlando, FL 32819
Phone (407) 455-6925

Other names 1

  • Live Well Medical Centers LLC Doing business as

National Provider Directory

National Provider Directory

Locations

6001 Vineland Rd
Ste 117
Orlando, FL 32819
Phone (407) 455-6925

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1982946943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD.",
            "address_2": "SUITE 117",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-455-6925",
            "fax_number": "407-455-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD.",
            "address_2": "SUITE 117",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32819",
            "telephone_number": "407-455-6925",
            "fax_number": "407-455-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL MEDICAL CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "PUCCI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "407-455-6925"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "ME0069445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Medical Centers LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.