LIVE OAK HMA MEDICAL GROUP, LLC (NPI# 1740509991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740509991 |
| Entity Type | Organization |
| Organization Name | LIVE OAK HMA MEDICAL GROUP, LLC |
| Practice Address |
1116 11th St Sw Live Oak FL 32064-3608 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 2395983131 |
| Practice Fax Number | 2395920438 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1116 11TH ST SW |
| City | LIVE OAK |
| State | FL |
| Zip Code | 32064-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699701524 | Dennis M Lewis | Surgery | 1116 11th St Sw, Live Oak, FL 32064 | 2006-06-23 |
| 1427380351 | Melanie Lane Key | Nurse Practitioner | 1116 11th St Sw, Live Oak, FL 32064-3608 | 2010-02-03 |
| 1336302264 | Gabriel Bezel Mufuka | Internal Medicine | 1116 11th St Sw, Live Oak, FL 32064-3608 | 2008-07-10 |
| 1841220159 | Heather Dee Romano | Nurse Practitioner | 1116 11th St Sw, Live Oak, FL 32064-3608 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517988 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2215 Ohio Ave N, Live Oak, FL 32064 | 2020-08-05 |
| 1821641150 | North Florida Natural Health, Inc | Clinic/Center | 405 11th Street Sw, Suite 206, Live Oak, FL 32064 | 2019-07-16 |
| 1558602482 | North Florida Pediatrics, Pa | Pediatrics | 1101 Ohio Ave South, Live Oak, FL 32064 | 2013-03-01 |
| 1427372093 | Steele Chiropractic Center, Inc | Chiropractor | 609 5th Street S.w., Suite 3, Live Oak, FL 32064 | 2010-03-25 |
| 1982855896 | John Workman, Dc, Pllc | Chiropractor | 216 Duval St Nw, Live Oak, FL 32064 | 2008-10-09 |
| 1629255799 | Alec Floyd Redfearn Jr. | Dentist | 931 North Ohio Avenue, Live Oak, FL 32064 | 2008-01-30 |
| 1639369051 | Julie L Owens Od Pa | Optometrist | 522 S. Ohio Ave, Live Oak, FL 32064 | 2007-08-01 |
| 1568512291 | Gina R Marler | Speech-Language Pathologist | 609 5th Street Sw Suite 3, Live Oak, FL 32064 | 2007-01-12 |
| 1174687230 | Suwannee County School Board | Local Education Agency (LEA) | 702 E Second St Nw, Live Oak, FL 32064 | 2006-12-21 |
| 1134235583 | Richard D Cason | Chiropractor | 328 West Howard Street, Live Oak, FL 32064 | 2006-08-21 |
| Find all providers in zip 32064 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215110192 | Renaldas Algirdas Smidtas | Family Medicine | 1437 N Ohio Ave, Live Oak, FL 32064-4817 | 2007-12-13 |
| 1871789867 | Toepperwein Family Practice, Pa | Family Medicine | 11355 Toepperwein Rd, Live Oak, TX 78233-3230 | 2007-09-24 |
| 1215022421 | Moiz Abbas Tajkhanji | Family Medicine | 11355 Toepperweinroad, Live Oak, TX 78233 | 2006-10-04 |
| 1568405728 | Eduardo Gustavo Romero | Family Medicine | 1304 Ohio Ave S, Live Oak, FL 32064-4156 | 2006-06-14 |
| 1902874233 | James C Razi | Family Medicine | 211 Ranchera St Nw, Live Oak, FL 32064-4866 | 2006-03-11 |
| 1073593737 | Beverly Ann Heinking | Family Medicine | 300 Pinewood Dr Sw, Live Oak, FL 32064-4029 | 2006-01-19 |
| 1174921696 | Live Oak Hma, LLC | Family Medicine | 1426 Canyon Ave Ne, Unit B, Live Oak, FL 32064-4832 | 2014-12-16 |
| 1659506285 | Chelo Belmonte | Family Medicine | 12602 Toepperwein Rd, Suite #100, Live Oak, TX 78233-3269 | 2009-05-27 |
| 1598904732 | Eduardo G Romero Md Pa Inc | Family Medicine | 1304 Ohio Ave S, Live Oak, FL 32064-4156 | 2009-02-11 |
| 1346488905 | Victor G Rosales | Family Medicine | 12602 Toepperwein Rd, Suite 100, Live Oak, TX 78233-3269 | 2009-02-04 |
| Find all providers in LIVE OAK | ||||
Please comment or provide details below to improve the information on LIVE OAK HMA MEDICAL GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.