Healthcare Provider Details

I. General information

NPI: 1093669939
Provider Name (Legal Business Name): LIVEZ, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111B S GOVERNORS AVE STE 21691
DOVER DE
19904-6903
US

IV. Provider business mailing address

1111B S GOVERNORS AVE STE 21691
DOVER DE
19904-6903
US

V. Phone/Fax

Practice location:
  • Phone: 888-254-2163
  • Fax:
Mailing address:
  • Phone: 888-254-2163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL PEIK
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 888-254-2163