IndividualActive
Mark Livecchi, MD
NPI 1043205545 · Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician · Jacksonville, FL
Provider details
- NPI number
- 1043205545
- Entity type
- Individual
- Primary specialty
- Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 130640 (FL)
Specialties & taxonomies
- Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P0301XLicense 130640 (FL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone: (904) 456-8297
Fax: (904) 244-9493
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 44008
Jacksonville, FL 32231-4008
Registry dates
- Enumerated
- 2005-09-12
- Last updated
- 2026-04-19
- Certified
- 2026-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.