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LIVE LOVE LIFE, SOUTHSIDE JACKSONVILLE
NPI 1437773280
Clinic/Center - Community Health in Holly Hill, FL

Active since June 07, 2020
1702 RIDGEWOOD AVE STE J, HOLLY HILL, FL 32117(904) 458-5444(386) 760-7649 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Jun 7, 2020 (2 updates tracked since 2020).

About Live Love Life, Southside Jacksonville NPPES

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

LIVE LOVE LIFE, SOUTHSIDE JACKSONVILLE (NPI 1437773280) is a healthcare organization registered as a community health in Holly Hill, Florida and active in the NPI registry since June 2020. The organization maintains 7 additional practice locations and lists Mark A. Walczyk, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1437773280
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameLIVE LOVE LIFE, INC
Location Address1702 RIDGEWOOD AVE STE JHolly Hill, FL 32117-1783
Mailing Address1700 Ridgewood Ave Ste IHolly Hill, FL 32117-1782 · (904) 458-5444 · Fax (386) 760-7649
Phone(904) 458-5444
Fax(386) 760-7649
Organization SubpartNo
Authorized OfficialMark A. WalczykChief Operating Officer · (585) 233-0105
Enumeration DateJune 7, 2020
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1437773280 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
1702 RIDGEWOOD AVE STE J, Holly Hill, FL 32117
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Other Names 8

Doing Business AsLive Love Life, Southside Jacksonville
Doing Business AsLive Love Life, Holly Hill
Doing Business AsLive Love Life Orlando
Doing Business AsLive Love Life, Daytona
Doing Business AsLive Love Life, Deland
Doing Business AsLive Love Life, Jacksonville
Doing Business AsLive Love Life, Ormond
Doing Business AsLive Love Life, Universal Orlando

Secondary Practice Locations 7

Location 11951 BoulevardJacksonville, FL 32206 · Phone (904) 640-7953 · Fax (386) 272-7938
Location 26735 Conroy Rd, STE 231Orlando, FL 32835 · Phone (407) 930-9969 · Fax (386) 272-7938
Location 35000 W Colonial Dr, STE 110Orlando, FL 32808 · Phone (407) 847-4829 · Fax (386) 272-7938
Location 4228 S Woodland BlvdDeland, FL 32720-5414 · Phone (386) 348-5242
Location 51445 Dunn Ave Ste BDaytona Beach, FL 32114-1437 · Phone (386) 675-1030
Location 6565 Memorial Cir, Ste A-BOrmond Beach, FL 32174-5001 · Phone (386) 866-9099
Location 76852 Belfort Oaks PlaceJacksonville, FL 32216 · Phone (904) 640-7954 · Fax (386) 272-7938

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 1437773280. It was assigned to this organization in the NPPES registry on June 7, 2020. The provider is doing business as Live Love Life, Southside Jacksonville, Live Love Life, Holly Hill, Live Love Life Orlando and Live Love Life, Daytona. Additional names are listed in the Other Names section above.

Where is Live Love Life, Inc located?

Live Love Life, Inc is located at 1702 Ridgewood Ave Ste J, Holly Hill, FL 32117. The listed phone number is (904) 458-5444.

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.

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.