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JOHN RUSSELL LIVENGOOD M.D. NPI 1104911205


NPI Information

NPI: 1104911205
Provider Name: JOHN RUSSELL LIVENGOOD, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
780 SW 24TH ST
MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL
ZIP 33315
Phone: (954) 467-4822
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John Russell Livengood, M.D. is a pediatrics in Fort Lauderdale, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. John Russell Livengood, M.D. NPI is 1104911205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

780 SW 24TH ST
MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL
ZIP 33315-643
Phone: (954) 467-4822

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME91299FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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