NPI 1104911205

John Russell Livengood, MD

Practitioner Pediatrics Physician Fort Lauderdale, FL

Practice location

Address: 780 SW 24th St Medical Administration, Fort Lauderdale, FL 33315-2643
Phone: (954) 467-4822

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence ME91299 (FL)

Other Pediatrics providers in Florida →

Registry record

NPI: 1104911205
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.