Healthcare Provider Details

I. General information

NPI: 1548113079
Provider Name (Legal Business Name): LIV SPECIALTY CARE PA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 N FLOWERS MILL RD
LANGHORNE PA
19047-1652
US

IV. Provider business mailing address

4900 CENTENNIAL BLVD STE 300 BOX 104
NASHVILLE TN
37209-1105
US

V. Phone/Fax

Practice location:
  • Phone: 267-493-1650
  • Fax: 267-367-5733
Mailing address:
  • Phone: 844-509-1404
  • Fax: 844-278-8635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: NICK SERIO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 414-702-0501