Healthcare Provider Details

I. General information

NPI: 1780895722
Provider Name (Legal Business Name): AYISHA ELIZABETH LIVINGSTONE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6333 N FEDERAL HWY STE 250
FORT LAUDERDALE FL
33308-1910
US

IV. Provider business mailing address

1608 SE 3RD AVE FL 3
FORT LAUDERDALE FL
33316-2564
US

V. Phone/Fax

Practice location:
  • Phone: 954-712-6355
  • Fax: 954-888-3993
Mailing address:
  • Phone: 954-712-6355
  • Fax: 954-888-3993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME 103967
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME103967
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: