| Live Oak Hma Llc | |
|
413 5th Ave Nw Ste A Jasper FL 32052-7801 | |
| (386) 292-8132 | |
| (386) 792-7745 |
| Full Name | Live Oak Hma Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 413 5th Ave Nw Ste A, Jasper, Florida |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6159254565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Hma Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 778-8196 | Live Oak Hma Llc 413 5th Ave Nw Ste A Jasper FL 32052-7801 Ph: (386) 292-8132 |
| NPI Number | 1922409010 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 10/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922409010 | NPI | - | NPPES |
| 016770200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 4314 (Florida) | Primary |
B A R Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 5th Ave Nw, Jasper, FL 32052 Phone: 386-792-2985 Fax: 386-792-0833 | |
Renaldas Algirdas Smidtas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 5th Ave Nw, Jasper, FL 32052 Phone: 386-792-0753 | |
Hc Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 Nw 4th Street, Jasper, FL 32052 Phone: 386-792-7247 Fax: 386-792-7257 | |
Irvin C. Bembry, M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 5th Ave Nw, Jasper, FL 32052 Phone: 386-792-2985 Fax: 386-792-0833 | |
Enrique Technologies Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 4th St Nw, Jasper, FL 32052 Phone: 904-626-9244 Fax: 386-758-8018 | |
Live Oak Immediate Care Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1150 Us Highway 41 Nw, Jasper, FL 32052 Phone: 615-373-7600 | |
Watson Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 506 4th St Nw, Jasper, FL 32052 Phone: 386-792-0700 Fax: 386-406-8370 |