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LIVE WELL M.D.
NPI 1992019640
Preferred Provider Organization in Jacksonville, FL

Active since August 04, 2010
11512 LAKE MEAD AVE, BUILDING 521, JACKSONVILLE, FL 32256(904) 807-9747(904) 807-9746 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Live Well M.d. NPPES

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

LIVE WELL M.D. (NPI 1992019640) is a healthcare organization registered as a preferred provider organization in Jacksonville, Florida and active in the NPI registry since August 2010. The organization lists Alex Moore, Doctor, as its authorized official.

NPPES Registry Identity

NPI1992019640
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameLIVE WELL M.D.
Location Address11512 LAKE MEAD AVE, BUILDING 521Jacksonville, FL 32256-9680
Mailing Address11512 Lake Mead Ave, Building 521Jacksonville, FL 32256-9680 · (904) 807-9747 · Fax (904) 807-9746
Phone(904) 807-9747
Fax(904) 807-9746
Organization SubpartNo
Authorized OfficialAlex MooreDoctor · (904) 807-9747
Enumeration DateAugust 4, 2010
✔ NPI 1992019640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
11512 LAKE MEAD AVE, Jacksonville, FL 32256
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Other Providers at the Same Location NPPES 20

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

TANYA PARADISO DILMUTH ARNP
Nurse Practitioner (Adult Health)
11512 LAKE MEAD AVE, 513
JACKSONVILLE, FL 32256
Duval County (904) 402-8346
DR. TANYA E HUNTER MD
Family Medicine
11512 LAKE MEAD AVE, SUITE 521
JACKSONVILLE, FL 32256
Duval County (904) 807-9747
MRS. ELIZABETH JANE O'GRADY MS CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
MICHELLE KLINDTWORTH CCC-SLP
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
JULIANN ABECASSIS
Acupuncturist
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 900-1477
JAMES E HARDY MD PLASTIC SURGERY LLC
Plastic Surgery
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Duval County (904) 996-0600
MELISSA AMERSON S.L.P.
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Duval County (904) 652-5408
CATHY L GOLDSTEIN AP
Acupuncturist
11512 LAKE MEAD AVE, # 605
JACKSONVILLE, FL 32256
Duval County (904) 900-1477

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 Well M.D.'s NPI number?

The NPI number for Live Well M.D. is 1992019640. It was assigned to this organization in the NPPES registry on August 4, 2010.

Where is Live Well M.D. located?

Live Well M.D. is located at 11512 Lake Mead Ave Building 521, Jacksonville, FL 32256. The listed phone number is (904) 807-9747.

What is Live Well M.D.'s specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Live Well M.D. was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.