OrganizationActive
Live Oak Immediate Care Center LLC
NPI 1407085244 · Family Medicine Physician · Jasper, FL
Provider details
- NPI number
- 1407085244
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mickey Pickler, Vp(805) 523-2117
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1150 US Highway 41 Nw
Jasper, FL 32052-5888
Phone: (615) 373-7600
Approximate (ZIP-level) locationGet directions
Mailing address
1150 US Highway 41 Nw
Jasper, FL 32052-5888
Registry dates
- Enumerated
- 2009-07-14
- Last updated
- 2011-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.