LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA
NPI 1891556049
Hospitalist in Brooksville, FL

Active since January 16, 2024
12440 CORTEZ BLVD, BROOKSVILLE, FL 34613(913) 549-3884 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 14, 2024, Aug 1, 2024, Jul 2, 2024 (3 updates tracked since 2024).

About Liveactive Multispecialty Physician Group Tampa NPPES

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

LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA (NPI 1891556049) is a healthcare organization registered as a hospitalist in Brooksville, Florida and active in the NPI registry since January 2024. The organization lists Shane Brethowr, Ceo/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1891556049
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameLIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC
Location Address12440 CORTEZ BLVDBrooksville, FL 34613-2628
Mailing AddressPo Box 1269Bellevue, NE 68005-1269
Organization SubpartNo
Authorized OfficialShane BrethowrCeo/authorized Official · (913) 549-3884
Enumeration DateJanuary 16, 2024
Last NPPES UpdateSeptember 14, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2024
NPI 1891556049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X
12440 CORTEZ BLVD, Brooksville, FL 34613

Other Names 1

Other NameLiveactive Multispecialty Physician Group Tampa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Physical Medicine & Rehabilitation
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613
Rehabilitation Unit
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613
Specialist
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613
Clinic/Center (Rehabilitation)
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613
Physical Medicine & Rehabilitation
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613
Physical Medicine & Rehabilitation
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613
Rehabilitation Practitioner
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613
Physical Medicine & Rehabilitation
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891556049, enumerated as an "organization" on January 16, 2024.

The provider is located at 12440 CORTEZ BLVD BROOKSVILLE, FL 34613 and the phone number is (913) 549-3884.

Hospitalist with taxonomy code 208M00000X.