OrganizationActive
Live Well M.D.
NPI 1992019640 · Preferred Provider Organization · Jacksonville, FL
Provider details
- NPI number
- 1992019640
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Alex Moore, Doctor(904) 807-9747
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11512 Lake Mead Ave
Building 521
Jacksonville, FL 32256-9680
Phone: (904) 807-9747
Fax: (904) 807-9746
Street-level locationGet directions
Mailing address
11512 Lake Mead Ave
Jacksonville, FL 32256-9680
Registry dates
- Enumerated
- 2010-08-04
- Last updated
- 2010-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.