Livette, Luciol D

Livette, Luciol D is an sole proprietor health care provider with primary practice located at 109 N Doverplum Ave , Kissimmee FL 34758-3309. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Livette, Luciol D can be contacted via phone (407) 943-8600.

Contact Information

Primary practice address
109 N Doverplum Ave Kissimmee FL 34758-3309
Phone: (407) 943-8600
Fax: (833) 464-3641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19121 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN1565 Florida

Profile Details

NPI number 1023409984
LBN Legal business name Livette, Luciol D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2015
Last updated Apr 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023409984 NPPES
Florida MEDICAID 121624600

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