OrganizationActive
Live Oak Hma, LLC
NPI 1669568499 · Rural Health Clinic/Center · Live Oak, FL
Provider details
- NPI number
- 1669568499
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paula Lalor, Director/Delegated Official(615) 925-4565
- License
- 4314 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1426 Canyon Ave Ne
Unit B
Live Oak, FL 32064-4832
Phone: (386) 208-0537
Approximate (ZIP-level) locationGet directions
Mailing address
1426 Canyon Ave Ne
Live Oak, FL 32064-4832
Other names (DBA / former)
- Doing business as
- Shands Live Oak Medical Group
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2018-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.