LIVE OAK HMA LLC NPI 1174921696

NPI Information

  • NPI: 1174921696
  • Provider Name: LIVE OAK HMA, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SHANDS MEDICAL GROUP OF LIVE OAK-RHC
  • Address: 1426 CANYON AVE NE
    UNIT B
    LIVE OAK, FL
    ZIP 32064
  • Phone: (386) 208-0537

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NPI Details

LIVE OAK HMA, LLC is a family medicine in Live Oak, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIVE OAK HMA, LLC NPI is 1174921696. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shands Medical Group Of Live Oak-rhc.

The provider's business location address is:

1426 CANYON AVE NE
UNIT B
LIVE OAK, FL
ZIP 32064-832
Phone: (386) 208-0537

The provider's authorized official is James P Wright .
The authorized official title is Sr. Director and has the following contact phone number (615) 465-7587.

The enumeration date for this NPI number is 12/16/2014 and was last updated on 12/16/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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