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

NPI Status: Active since August 04, 2010

Contact Information

11512 LAKE MEAD AVE
BUILDING 521
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 807-9747
Fax: (904) 807-9746

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  • Preferred Provider Organization

About LIVE WELL M.D.

This page provides the complete NPI Profile along with additional information for Live Well M.d., a provider established in Jacksonville, Florida operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1992019640 assigned on August 2010. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Alex Moore M.d. (Doctor)

NPI
1992019640
Provider Name
LIVE WELL M.D.
Entity Type
Organization
Location Address
11512 LAKE MEAD AVE BUILDING 521 JACKSONVILLE, FL 32256
Location Phone
(904) 807-9747
Location Fax
(904) 807-9746
Mailing Address
11512 LAKE MEAD AVE BUILDING 521 JACKSONVILLE, FL 32256
Mailing Phone
(904) 807-9747
Mailing Fax
(904) 807-9746
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2010
Last Update Date
08-04-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALEX MOORE M.D.

Authorized Official Title
DOCTOR
Authorized Official Phone
(904) 807-9747

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992019640, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 0 + 1 + 1 + 8 + 6 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1992019640.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Social Worker (Clinical)
11512 LAKE MEAD AVE, 703
JACKSONVILLE, FL 32256
Plastic Surgery
11512 LAKE MEAD AVE, SUITE 605
JACKSONVILLE, FL 32256
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Behavior Analyst
11512 LAKE MEAD AVE, SUITE 511
JACKSONVILLE, FL 32256
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 604
JACKSONVILLE, FL 32256
Speech-Language Pathologist
11512 LAKE MEAD AVE, 604
JACKSONVILLE, FL 32256
Pediatrics
11512 LAKE MEAD AVE, SUITE 201
JACKSONVILLE, FL 32256
Chiropractor
11512 LAKE MEAD AVE, SUITE 203
JACKSONVILLE, FL 32256
Family Medicine
11512 LAKE MEAD AVE, SUITE 521
JACKSONVILLE, FL 32256
Specialist
11512 LAKE MEAD AVE, UNIT # 303
JACKSONVILLE, FL 32256
Otolaryngology
11512 LAKE MEAD AVE, STE 531
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
11512 LAKE MEAD AVE, SUITE 532
JACKSONVILLE, FL 32256
Speech-Language Pathologist
11512 LAKE MEAD AVE
JACKSONVILLE, FL 32256
Physician Assistant
11512 LAKE MEAD AVE, SUITE 513
JACKSONVILLE, FL 32256
Speech-Language Pathologist
11512 LAKE MEAD AVE, SUITE 604
JACKSONVILLE, FL 32256
Family Medicine
11512 LAKE MEAD AVE, BLDG 521
JACKSONVILLE, FL 32256
Ophthalmology
11512 LAKE MEAD AVE, SUITE 534
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992019640, enumerated as an "organization" on August 04, 2010.

The provider is located at 11512 LAKE MEAD AVE BUILDING 521 JACKSONVILLE, FL 32256 and the phone number is (904) 807-9747.

Preferred Provider Organization with taxonomy code 305R00000X.