Provider Demographics
NPI:1407535198
Name:LIVWELL HELTHCARE LLC
Entity Type:Organization
Organization Name:LIVWELL HELTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KASHMIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-835-2644
Mailing Address - Street 1:255 SUNRISE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-3876
Mailing Address - Country:US
Mailing Address - Phone:561-659-6713
Mailing Address - Fax:877-222-8521
Practice Address - Street 1:255 SUNRISE AVE STE 2
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-3876
Practice Address - Country:US
Practice Address - Phone:561-659-6713
Practice Address - Fax:877-222-8521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty