Live Well M.D.
Live Well M.D. is a healthcare organization registered as Preferred Provider Organization in Jacksonville, FL, holding Type 2 (organization) NPI 1992019640 since 2010. The authorized official on file is Alex Moore, Doctor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1992019640 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Live Well M.D. |
| Practice address | 11512 LAKE MEAD AVE, BUILDING 521, Jacksonville, FL, 32256 |
| Phone | 9048079747 |
| Fax | 9048079746 |
| Enumeration date | 2010-08-04 |
| Last updated in NPPES | 2010-08-04 |
Authorized official
| Name | Alex Moore |
|---|---|
| Title | Doctor |
| Phone | 9048079747 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | Primary | — | — |
Copy-ready billing details
Provider: Live Well M.D. NPI: 1992019640 Taxonomy: 305R00000X (Preferred Provider Organization) Address: 11512 LAKE MEAD AVE, BUILDING 521, Jacksonville, FL, 32256
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205831906 | Jerome Sugar | Individual | Otolaryngology Physician | Jacksonville, FL |
| 1336139187 | David Kostick | Individual | Ophthalmology Physician | Jacksonville, FL |
| 1548247182 | Leslie Beadling | Individual | Family Medicine Physician | Jacksonville, FL |
| 1801845607 | Latha Shivashankar | Individual | Pediatrics Physician | Jacksonville, FL |
| 1306883566 | Kevin Determan | Individual | Chiropractor | Jacksonville, FL |
| 1306876651 | Charles Greene | Individual | Otolaryngology Physician | Jacksonville, FL |
| 1235152604 | Biofeedback Associates of Ne Fl | Organization | Mental Health Counselor | Jacksonville, FL |
| 1043312663 | Elizabeth O'Grady | Individual | Speech-Language Pathologist | Jacksonville, FL |
Verify this record
Cross-check NPI 1992019640 against the authoritative CMS record: view Live Well M.D. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Live Well M.D.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-08-04.