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LIVE LOVE LIFE, JACKSONVILLE
NPI 1265034227
Clinic/Center - Community Health in Jacksonville, FL

Active since November 13, 2020CLIA Certified · 2 labs
1951 BOULEVARD, JACKSONVILLE, FL 32206(904) 640-7954(386) 272-7938 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 8, 2024, Oct 19, 2022 and 1 more (4 updates tracked since 2020).

About Live Love Life, Jacksonville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVE LOVE LIFE, JACKSONVILLE (NPI 1265034227) is a healthcare organization registered as a community health in Jacksonville, Florida and active in the NPI registry since November 2020. The organization holds 2 active CLIA laboratory certificates and lists Mark A. Walczyk, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1265034227
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameLIVE LOVE LIFE, INC
Location Address1951 BOULEVARDJacksonville, FL 32206-3527
Mailing Address1700 Ridgewood Ave, Suite IHolly Hill, FL 32117-1782 · (585) 233-0105 · Fax (386) 492-3661
Phone(904) 640-7954
Fax(386) 272-7938
Organization SubpartYes
Authorized OfficialMark A. WalczykChief Operating Officer · (585) 233-0105
Enumeration DateNovember 13, 2020
Last NPPES UpdateApril 25, 20244 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1265034227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
Also ListedClinic/Center · Public Health, State or LocalTaxonomy 261QP0905X
1951 BOULEVARD, Jacksonville, FL 32206
Open in Google Maps ↗

Other Names 1

Doing Business AsLive Love Life, Jacksonville

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2307652

Live Love Life, Inc · Holly Hill, FL
Active · expires Jul 11, 2028
CLIA Number10D2307652
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorPablo M. Pella
Laboratory Phone(888) 791-5929
Laboratory LocationLive Love Life, Inc1702 Ridgewood Ave Suite J, Holly Hill, FL 32117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2193589

Live Love Life Inc · Holly Hill, FL
Active · expires Sep 22, 2026
CLIA Number10D2193589
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorMark Walczyk
Laboratory Phone(386) 213-5728
Laboratory LocationLive Love Life Inc1702 Ridgewood Ave - Ste J, Holly Hill, FL 32117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALFREDO ROMEU M.D.
Pediatrics
1951 BOULEVARD
JACKSONVILLE, FL 32206
Duval County (904) 354-6868
PEDIATRIC ASSOCIATES OF NE FLORIDA, LLC
Pediatrics
1951 BOULEVARD
JACKSONVILLE, FL 32206
Duval County (904) 354-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Live Love Life, Inc's NPI number?

The NPI number for Live Love Life, Inc is 1265034227. It was assigned to this organization in the NPPES registry on November 13, 2020. The provider is doing business as Live Love Life, Jacksonville.

Where is Live Love Life, Inc located?

Live Love Life, Inc is located at 1951 Boulevard, Jacksonville, FL 32206. The listed phone number is (904) 640-7954.

What is Live Love Life, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Live Love Life, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Live Love Life, Inc was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.