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LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC

Organization (NPI-2) Active

Hospitalist

Provider Information

NPI Number
1891556049
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
12440 CORTEZ BLVD, BROOKSVILLE, FL, 346132628
Phone
(913) 549-3884

Specialties & Taxonomies

Internal Medicine
Hospitalist Primary

All Addresses

LOCATION

12440 CORTEZ BLVD

BROOKSVILLE, FL, 346132628

(913) 549-3884

MAILING

PO BOX 1269

BELLEVUE, NE, 680051269